Provider Demographics
NPI:1093973463
Name:BETTY JO SCHARER, LPC, LLC
Entity Type:Organization
Organization Name:BETTY JO SCHARER, LPC, LLC
Other - Org Name:DBA BETTY JO SCHARER, LPC, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SCHARER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-745-9711
Mailing Address - Street 1:410 HARALSON PL
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-3087
Mailing Address - Country:US
Mailing Address - Phone:706-745-9711
Mailing Address - Fax:
Practice Address - Street 1:410 HARALSON PL
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3087
Practice Address - Country:US
Practice Address - Phone:706-745-9711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0003257261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA132798298AMedicaid
GA52821978OtherBC/BS
NC017WHOtherBLUE CROSS BLUE SHIELD
NC6102119Medicaid