Beverli L. Horton, LPC

Individual provider Active NPI Professional Counselor · Sandersville, GA

NPI 1285799387 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1285799387
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
002164 (GA)
Practice address
211 W Church St
Sandersville, GA 31082-2301
Phone
(478) 232-2303
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
002164GAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002164 GA Yes

Addresses

Primary practice location

211 W Church St
Sandersville, GA 31082-2301

Mailing address

211 W Church St
Sandersville, GA 31082-2301
Phone (478) 232-2303

Other identifiers

IdentifierTypeStateIssuer
10041294OtherGAAMERIGROUP

Other providers in Sandersville, GA

All providers in Sandersville, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.