| Manna Treatment | |
|
3305 Breckinridge Blvd Ste 116 Duluth GA 30096-4932 | |
| (770) 495-9775 | |
| (770) 495-9745 |
| Full Name | Manna Treatment |
|---|---|
| Speciality | Clinic/Center |
| Location | 3305 Breckinridge Blvd Ste 116, Duluth, Georgia |
| Authorized Official Name and Position | Elizabeth Gene Burnett (DIRECTOR) |
| Authorized Official Contact | 7704959775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manna Treatment 3305 Breckinridge Blvd Ste 116 Duluth GA 30096-4932 Ph: (770) 495-9775 | Manna Treatment 3305 Breckinridge Blvd Ste 116 Duluth GA 30096-4932 Ph: (770) 495-9775 |
| NPI Number | 1083089239 |
|---|---|
| Provider Enumeration Date | 12/13/2015 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Medicare PECOS PAC ID | 6709215817 |
|---|---|
| Medicare Enrollment ID | O20201001003087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083089239 | NPI | - | NPPES |
| Provider Name | Aleema S Zakers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649610544 PECOS PAC ID: 0345582094 Enrollment ID: I20190619001393 |
| Provider Name | Sandra Ann Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497302046 PECOS PAC ID: 5698104370 Enrollment ID: I20200331003270 |
| Provider Name | Elizabeth Genie Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548469695 PECOS PAC ID: 8921166968 Enrollment ID: I20201001003193 |
| Provider Name | Taneja Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124633888 PECOS PAC ID: 1153845631 Enrollment ID: I20250407000025 |
| Provider Name | Shelan Meheux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003631540 PECOS PAC ID: 7416435060 Enrollment ID: I20260204000659 |
| Provider Name | Courtney Chaney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083281935 PECOS PAC ID: 9234602376 Enrollment ID: I20260622000450 |
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