| Tyknetra Gunnison, | |
|
1906 Heritage Dr Sw, Conyers, GA 30094-6264 | |
| (678) 532-9896 | |
| Not Available |
| Full Name | Tyknetra Gunnison |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 1906 Heritage Dr Sw, Conyers, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699510347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LPC014405 (Georgia) | Primary |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20230619001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyknetra Gunnison, 2890 Highway 212 Sw Ste A-218, Conyers, GA 30094-3363 Ph: Not Available | Tyknetra Gunnison, 1906 Heritage Dr Sw, Conyers, GA 30094-6264 Ph: (678) 532-9896 |
Mr. Solomon Berewa, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1000 Iris Dr Sw Ste D200, Conyers, GA 30094 Phone: 404-396-7890 |
Angel Jocelin Haye, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 2365 Wall St Se Ste 200-04, Conyers, GA 30013 Phone: 404-890-0125 |
Kamia Reid, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Gees Mill Rd Ne, Conyers, GA 30013 Phone: 404-593-0591 |
Crystal N. Broughton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1775 Parker Rd Se Ste 210, Conyers, GA 30094 Phone: 470-967-8663 Fax: 678-218-4253 |
Mr. Euric Packer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Gees Mill Rd Ne Ste 315, Conyers, GA 30013 Phone: 404-585-7533 Fax: 770-759-5489 |
Dandrea R Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780b Southgate Ln Se, Conyers, GA 30013 Phone: 470-207-2044 |
Leroy Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Green St Se, Conyers, GA 30012 Phone: 770-929-1470 |