| Dr Marlo T Rouse, PHD | |
|
1800 Phoenix Blvd, College Park, GA 30349-5593 | |
| (770) 996-6664 | |
| Not Available |
| Full Name | Dr Marlo T Rouse |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1800 Phoenix Blvd, College Park, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417494345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000995 (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 |
|---|---|
| Dr Marlo T Rouse, PHD 1670 Clairmont Rd, Decatur, GA 30033-4004 Ph: (912) 541-0025 | Dr Marlo T Rouse, PHD 1800 Phoenix Blvd, College Park, GA 30349-5593 Ph: (770) 996-6664 |
Johnny H White, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9190 | |
Monica Catherine Bestawros, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1651 Phoenix Blvd Ste 2, College Park, GA 30349 Phone: 770-997-1738 | |
Julian Wood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9190 | |
Mrs. Bridgette Reed, Couples Therapy Medicare: Medicare Enrolled Practice Location: 5534 Old National Highway, Suite 100, College Park, GA 30349 Phone: 470-765-8550 | |
Tedra Perkins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9191 Fax: 404-762-9101 | |
Ebony Leaks, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 314-584-9294 |