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NPI Code Detail

MEDICARE: MCG EAP SERVICES, INC.

MEDICARE: MCG EAP SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist000992GA
2101YP2500XProfessional Counselor004182GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700839735
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCG EAP SERVICES, INC.
Provider Business Mailing Address
First Line : 179 PIERCE AVE
Second Line :
City : MACON
State : GA
Zip : 31204-2821
Country : US
Telephone Number : 478-742-1464
Fax Number : 478-742-1883
Provider Business Practice Location Address
First Line : 179 PIERCE AVE
Second Line :
City : MACON
State : GA
Zip : 31204-2821
Country : US
Telephone Number : 478-742-1464
Fax Number : 478-742-1883
Authorized Official
Title or Position : PRESIDENT
Name : MS. MIONA G GORDON
Credential :
Telephone Number : 478-742-1464
Provider Enumeration Date : 05/19/2006
Last Update Date : 08/26/2008

Similar Medicare Providers

1841282084 — BETSY MILLS LPC, SAP, CEAP
Practice Location Address:
179 PIERCE AVE
MACON, GA
31204-2821
Practice Phone: 478-742-1464
Practice Fax: 478-742-1883
1730281163 — MS. JEANNIE O POWELL LPC
Practice Location Address:
179 PIERCE AVE
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31204-2821
Practice Phone: 488-742-1464
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1467549790 — ROSAMOND ELLIS GOUDEAU LCSW
Practice Location Address:
179 PIERCE AVE
MACON, GA
31204-2821
Practice Phone: 478-742-1464
Practice Fax: 478-742-1883
1417015488 — MS. BARBARA A NEWTON LMFT, SAP
Practice Location Address:
179 PIERCE AVE
MACON, GA
31204-2821
Practice Phone: 478-742-1464
Practice Fax: 478-742-1883
1770741704 — DR. CHARLES EDWARD SMAHA DMD
Practice Location Address:
151 PIERCE AVE
MACON, GA
31204-2821
Practice Phone: 478-743-9331
Practice Fax:
1982857991 — WENDIE BRANNEN REYNOLDS LCSW, ACSW, MA
Practice Location Address:
179 PIERCE AVE
MACON, GA
31204-2821
Practice Phone: 478-742-1464
Practice Fax: 478-742-1883

Directions to “MCG EAP SERVICES, INC. ” Practice Location

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