MEDICARE: MS. CHEZ CLEMMONS LPC013537

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
1	101YP2500X	Professional Counselor	LPC013537	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LPC013537	OTHER	GA	LICENSE FOR PROFESSIONAL COUNSELING

General Provider Information

NPI Number	:	1023717998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHEZ CLEMMONS LPC013537

Provider Business Mailing Address
First Line	:	7066 SILVER BEND OVERLOOK
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30168-7462
Country	:	US
Telephone Number	:	770-605-8745
Fax Number	:

Provider Business Practice Location Address
First Line	:	7066 SILVER BEND OVERLOOK
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30168-7462
Country	:	US
Telephone Number	:	770-605-8745
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	02/28/2023

Similar Medicare Providers

1124986039 — JENAN TASHA MCNEALEY
Practice Location Address:

6163 GROVE CREST WAY
AUSTELL, GA
30168-7769

Practice Phone: 678-895-5171
Practice Fax:

1073514725 — MS. DEBBIE DUNBAR LCSW
Practice Location Address:

2710 JEFFERSON ST , SUITE 6
AUSTELL, GA
30168-4050

Practice Phone: 770-732-0190
Practice Fax: 770-732-0333

1205819737 — NUESTROS NINOS OUR KIDS PEDIATRICS PC
Practice Location Address:

393 MAXHAM RD , SUITES A&B
AUSTELL, GA
30168-5539

Practice Phone: 770-732-6007
Practice Fax: 770-732-8242

1104895572 — COBB COUNTY BOARD OF HEALTH
Practice Location Address:

875 SIX FLAGS DR
AUSTELL, GA
30168-7064

Practice Phone: 678-385-1360
Practice Fax: 678-385-1376

1770544116 — HILLCREST HOSPICE, INC
Practice Location Address:

5990 LOVE ST
AUSTELL, GA
30168-4029

Practice Phone: 770-745-1414
Practice Fax: 770-745-1415

1518912757 — IN HOME HEALTH LLC
Practice Location Address:

5990 LOVE ST
AUSTELL, GA
30168-4029

Practice Phone: 770-745-1414
Practice Fax:

Directions to “ MS. CHEZ CLEMMONS LPC013537” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.