| Summer Moon, LPC | |
|
401 Ridley Ave, Lagrange, GA 30240-2267 | |
| (706) 756-1970 | |
| Not Available |
| Full Name | Summer Moon |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 401 Ridley Ave, Lagrange, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144182650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC014910 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Moon, LPC 121 Crestview Rd, West Point, GA 31833-5221 Ph: (706) 585-0204 | Summer Moon, LPC 401 Ridley Ave, Lagrange, GA 30240-2267 Ph: (706) 756-1970 |
Martha Lynne Earley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4054 Fax: 706-845-4367 | |
Mr. Walter Hue Scott Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 West Point Rd., Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035 | |
Renonda Michelle Forney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 W Point Rd, Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035 | |
Holly T Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 Mooty Bridge Rd, Lagrange, GA 30240 Phone: 706-443-5433 | |
Rachael Rice, M.ED, APC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Harwell Ave, Lagrange, GA 30240 Phone: 706-837-0045 | |
Christopher Blake Glaze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4045 | |
Alison Lindsey Mauzy, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 321b Greenville St, Lagrange, GA 30241 Phone: 678-810-1955 Fax: 706-637-2320 |