Mrs Lanisha Carmen Rivers, in Lagrange, GA - Counselor

Mrs Lanisha Carmen Rivers, is a Counselor - Mental Health based in Lagrange, Georgia. Mrs Lanisha Carmen Rivers is licensed to practice in * (Not Available) (license number ) and her current practice location is 122 Gordon Commercial Dr, Lagrange, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 845-4054.

NPI number for Mrs Lanisha Carmen Rivers is 1295295756 and her current mailing address is 122 Gordon Commercial Dr, Lagrange, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295295756.

Contact Information

	Mrs Lanisha Carmen Rivers,
	122 Gordon Commercial Dr, Lagrange, GA 30240-5754
	(706) 845-4054
	(706) 845-4430

Healthcare Provider's Profile

Full Name	Mrs Lanisha Carmen Rivers
Gender	Female
Speciality	Counselor - Mental Health
Location	122 Gordon Commercial Dr, Lagrange, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1295295756
Provider Enumeration Date: 03/21/2019
Last Update Date: 03/21/2019

Medical Identifiers

Medical identifiers for Mrs Lanisha Carmen Rivers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295295756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lanisha Carmen Rivers is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Lanisha Carmen Rivers, 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 Ph: (706) 845-4054	Mrs Lanisha Carmen Rivers, 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 Ph: (706) 845-4054

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Counselor in Lagrange, GA

Martha Lynne Earley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4054 Fax: 706-845-4367
Mr. Walter Hue Scott Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 West Point Rd., Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035
Renonda Michelle Forney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 W Point Rd, Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035
Christopher Blake Glaze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4045
Ms. Baxlee Bynum, M.ED, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4045 Fax: 706-845-4367
Ms. Kelsey S Henderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4045 Fax: 706-845-4367
Torionna Green, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Hood Rd, Lagrange, GA 30241 Phone: 678-591-6328

Mrs Lanisha Carmen Rivers, - Counselor in Lagrange, GA