| Nicole T Denman, LPC | |
|
3114 Cherokee St Nw, Suite 209, Kennesaw, GA 30144-6524 | |
| (770) 627-3550 | |
| Not Available |
| Full Name | Nicole T Denman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3114 Cherokee St Nw, Kennesaw, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164676789 | NPI | - | NPPES |
| 927317302A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0600467 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | LPC005777 (Georgia) | Primary |
| Entity Name | Tmc-behavioral Health Of West Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356795462 PECOS PAC ID: 2163714635 Enrollment ID: O20160705000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole T Denman, LPC 3114 Cherokee St Nw, Suite 209, Kennesaw, GA 30144-6524 Ph: (770) 627-3550 | Nicole T Denman, LPC 3114 Cherokee St Nw, Suite 209, Kennesaw, GA 30144-6524 Ph: (770) 627-3550 |
Mr. Christopher M Hall, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2332 Holden Way Nw, Kennesaw, GA 30144 Phone: 347-481-9074 | |
Theresa Cher Randall, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 101, Kennesaw, GA 30144 Phone: 678-927-6471 | |
Camille Marie Roty, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1275 Shiloh Rd Nw Ste 2160, Kennesaw, GA 30144 Phone: 404-530-9564 Fax: 678-341-0021 | |
Kristi Thomas Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2602 Summers St, Unit 200, Kennesaw, GA 30144 Phone: 770-883-2052 | |
Kimberly Marie Seheult, M ED, MHP, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Barrett Lakes Blvd, Apt 1402, Kennesaw, GA 30144 Phone: 404-693-1559 Fax: 404-745-0271 | |
Angela Marie Stephens Fowler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1480 Falkirk Ln Nw, Kennesaw, GA 30152 Phone: 678-444-3859 | |
Joshua Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6095 Pine Mountain Rd Nw, Suite #105, Kennesaw, GA 30152 Phone: 678-217-7529 |