Amy Elizabeth Mccullough | Atlanta, GA • PECOS Search

Amy Elizabeth Mccullough

Counselor

Behavioral Health & Social Service Providers

3091 E Shadowlawn Ave NE, Atlanta, GA 30305-2481

PECOS Enrollment

Based on the most recent information from CMS, provider Amy Elizabeth Mccullough does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1205180833
Provider Type
Individual
Full Name
Mccullough, Amy Elizabeth
Title
Mrs.
Credential
MS, NCC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/5/2012
Last Updated
11/5/2012

Contact Information

Practice Location

3091 E Shadowlawn Ave NE, Atlanta, GA 30305-2481

Unlisted Fax

Mailing Location

25 Foxridge Ct SE, Marietta, GA 30067-4301

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer