Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY MARIE BERVOETS
ActiveAddiction (Substance Use Disorder) Counselor · FORT OGLETHORPE, GA
Registration Details
- NPI Number
- 1376003343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2019 (7.0840630870062 yrs)
- Last Updated
- Mar 25, 2019
Practice Information
- Address
-
2007 OLD LAFAYETTE RDFORT OGLETHORPE, GA, 307423510Browse GA providers · Browse ZIP 30742
- Phone
- 7068619390
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FORT OGLETHORPE, GA
| Name | Credential | NPI |
|---|---|---|
| MS. AMY JO BARRON | ICCAADC, MSSW | 1700187929 |
| MISTY DAWN BATES | — | 1932639762 |
| BRIAN EZRA BATES | CADC-I | 1053800813 |
| DAVID ALLEN BURRIS SR. | — | 1437633088 |
| DANIELLE BROWN | — | 1093275398 |
| MAT TAYLOR YOUNG | — | 1063972354 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.