Kayla Gentry Bullard, MSW, LCSWA | |
714 Carolina Ave Ste A, Yadkinville, NC 27055-7793 | |
(336) 818-0733 | |
Not Available |
Full Name | Kayla Gentry Bullard |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 714 Carolina Ave Ste A, Yadkinville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1255909594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | P016296 (North Carolina) | Primary |
Entity Name | Forsyth Psychiatric Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326575994 PECOS PAC ID: 7214203405 Enrollment ID: O20171016000897 |
Mailing Address | Practice Location Address |
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Kayla Gentry Bullard, MSW, LCSWA 111 Sylvan Rd, Thurmond, NC 28683-9439 Ph: () - | Kayla Gentry Bullard, MSW, LCSWA 714 Carolina Ave Ste A, Yadkinville, NC 27055-7793 Ph: (336) 818-0733 |
Ms. Nina Kaye Hightower, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 403 E Main St, Yadkinville, NC 27055 Phone: 828-257-2930 Fax: 336-677-1271 | |
Courtney Guido, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 W Main Strret, Yadkinville, NC 27055 Phone: 336-849-7890 | |
Emma Grace Conley, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 714 Carolina Ave Ste A, Yadkinville, NC 27055 Phone: 336-818-0733 | |
Angela Creel Peyton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 704-939-1100 | |
Mrs. Sandra E Connor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805 Fax: 336-679-3057 | |
Ms. Katie Dockery Moser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-589-8059 |