| Charles Lawson Bost, LPC | |
|
1202 Town Park Ln Ste 300, Evans, GA 30809-3477 | |
| (706) 210-8855 | |
| (706) 432-8775 |
| Full Name | Charles Lawson Bost |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 1202 Town Park Ln Ste 300, Evans, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013381284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT001659 (Georgia) | Primary |
| 101YP2500X | Counselor - Professional | LPC013145 (Georgia) | Secondary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Lawson Bost, LPC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () - | Charles Lawson Bost, LPC 1202 Town Park Ln Ste 300, Evans, GA 30809-3477 Ph: (706) 210-8855 |
Elizabeth Blair Harison, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 1202 Town Park Ln Ste 300, Evans, GA 30809 Phone: 706-210-8855 Fax: 706-432-8775 | |
Jennifer Moore, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 N Belair Sq Ste 2, Evans, GA 30809 Phone: 864-398-9418 | |
Stephanie Lynn Steed, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 N Belair Sq Ste 2, Evans, GA 30809 Phone: 706-373-1680 | |
Mrs. Monique Rendles, M.A., LMFT-S Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 670 Whitney Shoals Rd, Evans, GA 30809 Phone: 910-356-9213 Fax: 888-356-4522 |