Austin Leigh Jarrell, MS | |
801 Hill St, Springfield, TN 37172-2951 | |
(615) 382-3002 | |
Not Available |
Full Name | Austin Leigh Jarrell |
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Gender | Female |
Speciality | Counselor |
Location | 801 Hill St, Springfield, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821630161 | NPI | - | NPPES |
Q056567 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Impact Behavioral Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386169050 PECOS PAC ID: 1355604836 Enrollment ID: O20190404001313 |
Mailing Address | Practice Location Address |
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Austin Leigh Jarrell, MS 557 Somerset Ln, Clarksville, TN 37042-6082 Ph: (615) 423-6735 | Austin Leigh Jarrell, MS 801 Hill St, Springfield, TN 37172-2951 Ph: (615) 382-3002 |
Tamika Vaughn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-925-9594 | |
Mrs. Aiden Christine Winford, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 888-291-4357 | |
Krystin Ahlstrand, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 | |
Jason Vinson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 | |
Elizabeth Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 Fax: 615-463-6202 | |
Maria Irizarry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 | |
Sonyvette Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 Fax: 615-463-6202 |