| Whitney M Rudd, | |
|
7470 Hunters Ridge Dr, Douglasville, GA 30134-4004 | |
| (843) 409-3864 | |
| Not Available |
| Full Name | Whitney M Rudd |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7470 Hunters Ridge Dr, Douglasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922623289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFT002068Z (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | MFT002068Z (Georgia) | Primary |
| Entity Name | Unlimited Performance Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235486903 PECOS PAC ID: 8022264696 Enrollment ID: O20120814000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney M Rudd, 7470 Hunters Ridge Dr, Douglasville, GA 30134-4004 Ph: (843) 409-3864 | Whitney M Rudd, 7470 Hunters Ridge Dr, Douglasville, GA 30134-4004 Ph: (843) 409-3864 |
Shawnnetta N Green, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3464 Fairburn Rd Bldg 4, Douglasville, GA 30135 Phone: 678-379-3055 | |
Brigitta Jackson Arnold, MS, LPC, MHC, CMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8335 Office Park Dr, Douglasville, GA 30134 Phone: 678-324-0476 | |
Edra Latrelle Faust, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6311 Strickland St, Douglasville, GA 30134 Phone: 678-838-8333 | |
Mrs. Naomi S Fields, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 7193 Douglas Blvd, Suite 207, Douglasville, GA 30135 Phone: 770-949-0074 Fax: 770-949-1376 | |
Arianna Hunter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4103 Feather Dr, Douglasville, GA 30135 Phone: 716-235-7920 | |
Mr. Justin Murray, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9013 Myrtle Dr, Douglasville, GA 30134 Phone: 404-441-9729 | |
Ruth Fitzgerad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2109 Fairburn Rd, Douglasville, GA 30135 Phone: 770-726-7958 |