| Mrs Leticia T Graham, MSH, MPH, MSPC, LAPC | |
|
205 Lakeshore Pt, Saint Marys, GA 31558-3843 | |
| (912) 225-1120 | |
| Not Available |
| Full Name | Mrs Leticia T Graham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 205 Lakeshore Pt, Saint Marys, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316608037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC0415482 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC0415482 (Georgia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Leticia T Graham, MSH, MPH, MSPC, LAPC 205 Lakeshore Pt, Saint Marys, GA 31558-3843 Ph: (912) 225-1120 | Mrs Leticia T Graham, MSH, MPH, MSPC, LAPC 205 Lakeshore Pt, Saint Marys, GA 31558-3843 Ph: (912) 225-1120 |
April Stone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1602 Sandpiper Ct, Saint Marys, GA 31558 Phone: 912-227-9957 | |
Dr. Adeline Mctavous, PH.D., LPC, LMHC,CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Charlie Smith Sr Hwy Ste 6, Saint Marys, GA 31558 Phone: 912-576-0187 Fax: 912-576-9690 | |
Mrs. Delma Christine Jay, BSPA-CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Lakeshore Dr, Saint Marys, GA 31558 Phone: 912-729-1120 Fax: 912-729-1150 | |
Mrs. Shonta Harper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 708 Osborne St Ste 104, Saint Marys, GA 31558 Phone: 229-591-4772 Fax: 855-793-1274 | |
Ms. Rachel Nicole Haynie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Dilworth St, Apt. J8, Saint Marys, GA 31558 Phone: 912-674-5157 | |
Miss Virginia Abell, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2060 Dan Proctor Dr, Suite 3300, Saint Marys, GA 31558 Phone: 912-882-3800 | |
Dr. Neil Edwin Duchac Ii, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 269 Creekside Dr, Saint Marys, GA 31558 Phone: 419-303-8386 |