| A New Start Counseling Center Inc | |
|
115 Habersham Dr Fayetteville GA 30214 | |
| (770) 461-9944 | |
| (770) 461-9779 |
| Full Name | A New Start Counseling Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 115 Habersham Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Lavern Taylor (OFFICE MANAGER) |
| Authorized Official Contact | 7704619944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Start Counseling Center Inc 115 Habersham Dr Fayetteville GA 30214 Ph: (770) 461-9944 | A New Start Counseling Center Inc 115 Habersham Dr Fayetteville GA 30214 Ph: (770) 461-9944 |
| NPI Number | 1477619195 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2466340310 |
|---|---|
| Medicare Enrollment ID | O20040310000950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477619195 | NPI | - | NPPES |
| Provider Name | Dorothy Cerezola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922169564 PECOS PAC ID: 1456240027 Enrollment ID: I20040311001379 |
| Provider Name | Timothy J Aycock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780752618 PECOS PAC ID: 8820013659 Enrollment ID: I20051011000891 |
| Provider Name | Linda S Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609944552 PECOS PAC ID: 6507875739 Enrollment ID: I20060417000026 |
| Provider Name | David W Aycock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346318284 PECOS PAC ID: 2365479532 Enrollment ID: I20060417000034 |
| Provider Name | Connie M Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477617215 PECOS PAC ID: 8628087863 Enrollment ID: I20060417000092 |
| Provider Name | Dale L King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497823330 PECOS PAC ID: 9931119559 Enrollment ID: I20060427000023 |
| Provider Name | Melody S King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811058456 PECOS PAC ID: 5597953612 Enrollment ID: I20101216000105 |
| Provider Name | Iris Branch Cleveland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184904211 PECOS PAC ID: 7416124276 Enrollment ID: I20120420000311 |
| Provider Name | Karen D Bisgay-dehan |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1043551427 PECOS PAC ID: 0941449722 Enrollment ID: I20130627000296 |
| Provider Name | Kory D Hemenway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730202540 PECOS PAC ID: 7214830728 Enrollment ID: I20170620003019 |
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