| Paulette Chavers, MED, LPC | |
|
305 W Spring St, Mount Vernon, GA 30445-2837 | |
| (912) 423-0498 | |
| Not Available |
| Full Name | Paulette Chavers |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | 305 W Spring St, Mount Vernon, 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 |
|---|---|---|---|
| 1336551415 | NPI | - | NPPES |
| 003155049B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007713 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Paulette Chavers, MED, LPC 305 W Spring St, Mount Vernon, GA 30445-2837 Ph: () - | Paulette Chavers, MED, LPC 305 W Spring St, Mount Vernon, GA 30445-2837 Ph: (912) 423-0498 |
Mr. Thadeus Mandrall Holloway, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W Spring St, Box 172, Mount Vernon, GA 30445 Phone: 912-423-1000 Fax: 912-583-0115 | |
Crystal Coney, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 W Robinson Dr, Mount Vernon, GA 30445 Phone: 912-583-0100 Fax: 912-583-0115 | |
Tyhescia White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W Spring St, Post Office Box 172, Mount Vernon, GA 30445 Phone: 912-423-0498 Fax: 912-583-0115 | |
Shonda Lafaye Madison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 N Minnie St, Mount Vernon, GA 30445 Phone: 912-583-2172 | |
Amber Mcarthur, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W Spring St, Mount Vernon, GA 30445 Phone: 912-423-0498 Fax: 912-583-0115 |