Ms Fayola Autry, MPH is a
Counselor - Mental Health based in Oakland, California. Ms Fayola Autry is licensed to practice in * (Not Available) (license number ) and her current practice location is
4368 Lincoln Ave, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 531-3111.
NPI number for Ms Fayola Autry is 1831436997 and her current mailing address is 4368 Lincoln Ave, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831436997.
Healthcare Provider's Profile
| Full Name | Ms Fayola Autry |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 4368 Lincoln Ave, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831436997
- Provider Enumeration Date: 01/09/2013
- Last Update Date: 01/15/2013
Medical Identifiers
Medical identifiers for Ms Fayola Autry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831436997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
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. Ms Fayola Autry 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 |
|---|
Ms Fayola Autry, MPH
4368 Lincoln Ave,
Oakland, CA 94602-2529
Ph: (510) 531-3111 | Ms Fayola Autry, MPH
4368 Lincoln Ave,
Oakland, CA 94602-2529
Ph: (510) 531-3111 |
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