Terri Giles
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cedartown, GA
NPI 1750826434 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1750826434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1890 (GA)
- Practice address
- 740 Fletcher St
Same
Cedartown, GA 30125-3249 - Phone
- (770) 748-1500
- Fax
- (770) 749-1094
- NPI assigned
- Jan 4, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1890 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1890 | GA | Yes |
Addresses
Primary practice location
740 Fletcher St
Same
Cedartown, GA 30125-3249
Mailing address
740 Fletcher St
Same
Cedartown, GA 30125-3249
Phone (770) 748-1500
Other providers in Cedartown, GA
- Georgia CVS Pharmacy LLC
- Georgia Group Services, LLC
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- Gerald D Palatini, Jr., DDS
- Clarissa Gibson
- Neil E Gordon
- Arlisha Gray
- Connie Gresham
- Elysabeth Annah Griffin
- Jonathan N Griffin
All providers in Cedartown, GA · Addiction (Substance Use Disorder) 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 4, 2017. 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.