| T'challa O'bryant, LPC | |
|
2402 Jacobs Ct, Hinesville, GA 31313-9460 | |
| (912) 492-2267 | |
| Not Available |
| Full Name | T'challa O'bryant |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2402 Jacobs Ct, Hinesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093402455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC009649 (Georgia) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
| Mailing Address | Practice Location Address |
|---|---|
| T'challa O'bryant, LPC 2402 Jacobs Ct, Hinesville, GA 31313-9460 Ph: (912) 492-2267 | T'challa O'bryant, LPC 2402 Jacobs Ct, Hinesville, GA 31313-9460 Ph: (912) 492-2267 |
Ivie Page, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1518 Airport Rd, Hinesville, GA 31313 Phone: 912-559-5536 Fax: 614-388-3712 | |
Joseph Folsom, Counselor Medicare: Medicare Enrolled Practice Location: 345 W Memorial Dr, Hinesville, GA 31313 Phone: 912-456-2010 | |
Belinda Joy Sharp, MS, LMHC,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 W Memorial Dr, Hinesville, GA 31313 Phone: 912-456-2002 Fax: 772-220-3484 | |
Gloria M. Hance, LPC Counselor Medicare: Medicare Enrolled Practice Location: 215 E Court St, Hinesville, GA 31313 Phone: 912-876-4010 | |
Mrs. Gloria Harris Daughtery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 S Welborn St, Suite C, Hinesville, GA 31313 Phone: 912-332-5145 Fax: 912-332-5143 | |
Marisol Robles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 E Court St, Hinesville, GA 31313 Phone: 912-876-4010 Fax: 912-369-2262 |