Shavontae Erika Taylor, LMFT | |
115 Hardwood St Sw, Milledgeville, GA 31061-4546 | |
(478) 206-1389 | |
Not Available |
Full Name | Shavontae Erika Taylor |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 115 Hardwood St Sw, Milledgeville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801649272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFT002058 (Georgia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
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Shavontae Erika Taylor, LMFT 115 Hardwood St Sw, Milledgeville, GA 31061-4546 Ph: () - | Shavontae Erika Taylor, LMFT 115 Hardwood St Sw, Milledgeville, GA 31061-4546 Ph: (478) 206-1389 |
Ms. Claire Presley Angle, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1371 Orchard Hill Rd, Milledgeville, GA 31061 Phone: 478-320-8158 Fax: 478-445-6062 | |
Jamie Michelle Gray, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 60 Highway 22 West, Blandy Way Office Park, Milledgeville, GA 31061 Phone: 478-451-2704 Fax: 478-445-1296 |