Joseph Drew Bazemore
Individual provider Active NPI Mental Health Counselor · Cartersville, GA
NPI 1508679028 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1508679028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 200 Leake St Ste 106
Cartersville, GA 30120-3562 - Phone
- (770) 615-0218
- NPI assigned
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etowahcs, LLC | Current |
Accepting new patients |
Locations
200 Leake St
Ste 106
Cartersville, GA 30120
Phone (470) 433-5048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
200 Leake St Ste 106
Cartersville, GA 30120-3562
Mailing address
406 Woodbridge Dr
Dallas, GA 30157-0520
Other providers in Cartersville, GA
- Bartow Health Access, Inc.
- Lee H Battle III
- Gail Bauer
- Diana M Baughman
- Antonio V Baute
- Jason Lee Beck
- Natalie Bedford
- Adugnaw Bekele
- Jessica Bell
- Paul Bell
All providers in Cartersville, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.