| Ms Jancey Shellnutt Wilson, LPC | |
|
124 Tyler Ln, Thomaston, GA 30286-1454 | |
| (706) 647-7718 | |
| Not Available |
| Full Name | Ms Jancey Shellnutt Wilson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 124 Tyler Ln, Thomaston, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053854349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC008331 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcintosh Trail Community Service Board | 6204818669 | 17 |
| Entity Name | Mcintosh Trail Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336317270 PECOS PAC ID: 6204818669 Enrollment ID: O20040601001239 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jancey Shellnutt Wilson, LPC 124 Tyler Ln, Thomaston, GA 30286-1454 Ph: (706) 647-7718 | Ms Jancey Shellnutt Wilson, LPC 124 Tyler Ln, Thomaston, GA 30286-1454 Ph: (706) 647-7718 |
Andrea Carter Wolverton, LMFT, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Sunnyside Rd, Thomaston, GA 30286 Phone: 706-665-6998 | |
Robert R Gamboa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Andrews Dr, Thomaston, GA 30286 Phone: 770-358-5252 | |
Mrs. Margie English Roberts, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 Jeff Davis Rd, Thomaston, GA 30286 Phone: 706-648-3820 Fax: 706-648-3820 | |
Shameika Worthy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Creekside Manor Dr, Thomaston, GA 30286 Phone: 770-584-0894 | |
Ms. Anita Cestello Whitmore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 S Center St, Thomaston, GA 30286 Phone: 706-647-4513 Fax: 706-647-7229 | |
Joseph Gary Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 W Gordon St, Thomaston, GA 30286 Phone: 706-646-6329 Fax: 706-646-6039 |