Dr Gary Wayne Osborne, LPC, MHSP | |
1629 E Main St, Humboldt, TN 38343 | |
(731) 618-0266 | |
(731) 824-5398 |
Full Name | Dr Gary Wayne Osborne |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1629 E Main St, Humboldt, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891880209 | NPI | - | NPPES |
7017081 | Other | AETNA | |
3102484 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC583 (Tennessee) | Primary |
Entity Name | Sdg Primary And Immediate Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225437585 PECOS PAC ID: 2264758689 Enrollment ID: O20150303000316 |
Entity Name | Gary Osborne Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366609943 PECOS PAC ID: 4284078445 Enrollment ID: O20240215004394 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Wayne Osborne, LPC, MHSP 113 Rolling Oaks Dr, Humboldt, TN 38343-8586 Ph: (731) 618-0055 | Dr Gary Wayne Osborne, LPC, MHSP 1629 E Main St, Humboldt, TN 38343 Ph: (731) 618-0266 |
Ms. Tina Louise Witcher Resneck, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Bethel Church Rd, Humboldt, TN 38343 Phone: 731-616-6233 | |
Clarissa Marie Saigeon, LPC MHSP (TEMP) Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 E Main St, Humboldt, TN 38343 Phone: 731-784-8814 |