Ms Kesha Greene, LPC | |
101 Quartz Dr Ste 103a, Villa Rica, GA 30180-3201 | |
(404) 430-7314 | |
Not Available |
Full Name | Ms Kesha Greene |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 101 Quartz Dr Ste 103a, Villa Rica, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972015394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC009437 (Georgia) | Primary |
Entity Name | Mental Health Specialty Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20230619001228 |
Mailing Address | Practice Location Address |
---|---|
Ms Kesha Greene, LPC 2238 Chestnut Log Loop, Lithia Springs, GA 30122-3551 Ph: () - | Ms Kesha Greene, LPC 101 Quartz Dr Ste 103a, Villa Rica, GA 30180-3201 Ph: (404) 430-7314 |
Denard Fenaud, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Greatwood Ln, Villa Rica, GA 30180 Phone: 772-408-3907 Fax: 678-855-6715 | |
Allyson Moffatt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3530 | |
Ms. April Monique Mcconico, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 | |
Mrs. Kenya Adrian Patterson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Quartz Dr Ste 103a, Villa Rica, GA 30180 Phone: 770-812-8863 Fax: 770-812-3805 | |
Sharrisse Noelle El Amrani, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Quartz Dr, Villa Rica, GA 30180 Phone: 770-812-3411 | |
Deanna Henley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 W Bankhead Hwy, Villa Rica, GA 30180 Phone: 678-941-3868 | |
Mr. Richard Brent Wadsworth Jr., LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Quartz Dr Ste 201, Villa Rica, GA 30180 Phone: 770-812-3839 |