| Rose Casey, LPC | |
|
12586 N Main St, Trenton, GA 30752-2227 | |
| (706) 956-5526 | |
| Not Available |
| Full Name | Rose Casey |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 12586 N Main St, Trenton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154177566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC014626 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC014626 (Georgia) | Primary |
| Entity Name | Lookout Mountain Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790782431 PECOS PAC ID: 4880682822 Enrollment ID: O20040506000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Casey, LPC 12586 N Main St, Trenton, GA 30752-2227 Ph: (706) 956-5526 | Rose Casey, LPC 12586 N Main St, Trenton, GA 30752-2227 Ph: (706) 956-5526 |
Felix D Cruz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 13570 N Main St, Trenton, GA 30752 Phone: 706-956-2665 Fax: 706-657-5885 | |
Lisa Michelle Stephans, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 12586 North Main Street, Trenton, GA 30752 Phone: 706-956-5526 Fax: 706-639-2054 | |
Anna Katharine Horne, LPC Counselor Medicare: Medicare Enrolled Practice Location: 13570 N Main St, Trenton, GA 30752 Phone: 706-956-2665 Fax: 706-657-5885 |