Ms Michele Denise Green, LPC | |
903 Pavilion Ct Ste D, Mcdonough, GA 30253-6672 | |
(404) 913-9114 | |
(404) 529-4729 |
Full Name | Ms Michele Denise Green |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 903 Pavilion Ct Ste D, Mcdonough, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235429093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC008640 (Georgia) | Primary |
Entity Name | Inpatient Consultants Of Georgia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659403970 PECOS PAC ID: 2264539618 Enrollment ID: O20070518000143 |
Entity Name | Cs Pacs 3 Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240801002803 |
Mailing Address | Practice Location Address |
---|---|
Ms Michele Denise Green, LPC 903 Pavilion Ct Ste D, Mcdonough, GA 30253-6672 Ph: (404) 913-9114 | Ms Michele Denise Green, LPC 903 Pavilion Ct Ste D, Mcdonough, GA 30253-6672 Ph: (404) 913-9114 |
Diamond S Hill, PP Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330 | |
Kiarha Lamar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662 | |
Dr. Joan Marie Hall, PHD, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3174 E Fairview Rd, Mcdonough, GA 30252 Phone: 707-679-0204 | |
Marquita Latrice Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jonesboro St, Mcdonough, GA 30253 Phone: 678-809-7291 | |
Tammy L. Amercani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662 | |
Robert Sowell, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S. Zack Hinton Parkway, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662 | |
Kenya Latrice Purcell, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1725 Pennsylvania Ave, Mcdonough, GA 30253 Phone: 678-789-3939 |