| Ms Ashley Brianna Moore, LPC | |
|
6000 Lynmark Way Ste 106, Fairburn, GA 30213-4844 | |
| (470) 484-2323 | |
| Not Available |
| Full Name | Ms Ashley Brianna Moore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6000 Lynmark Way Ste 106, Fairburn, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487433041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC014860 (Georgia) | Primary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| 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 |
|---|---|
| Ms Ashley Brianna Moore, LPC 6000 Lynmark Way Ste 106, Fairburn, GA 30213-4844 Ph: (470) 484-2323 | Ms Ashley Brianna Moore, LPC 6000 Lynmark Way Ste 106, Fairburn, GA 30213-4844 Ph: (470) 484-2323 |
Shonda P Dallas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Breeze Mdw, Fairburn, GA 30213 Phone: 770-597-9746 Fax: 678-834-5154 | |
Mykieshia Ayaniah Serria Seigler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6173 Redtop Loop, Fairburn, GA 30213 Phone: 678-363-3562 | |
Shemaria Garcia, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6025 Capitol Knl, Fairburn, GA 30213 Phone: 404-919-8160 | |
Grace M Blackwood, LPC Counselor Medicare: Medicare Enrolled Practice Location: 570 Windsor Way, Fairburn, GA 30213 Phone: 770-365-3140 Fax: 770-703-7915 | |
Dr. Keziah Jones, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Duke Ct, Fairburn, GA 30213 Phone: 813-205-8901 | |
Ms. Lakia Chappelle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Meadow Glen Pkwy, Fairburn, GA 30213 Phone: 803-521-3327 | |
Colena Brown, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7556 Rutgers Cir, Fairburn, GA 30213 Phone: 702-427-9368 |