Garland W King Jr, LPC | |
80 James Switzer Rd, Purvis, MS 39475-3037 | |
(601) 705-1901 | |
Not Available |
Full Name | Garland W King Jr |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 80 James Switzer Rd, Purvis, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750513511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1137 (Mississippi) | Primary |
Entity Name | Region 12 Commission On Mental Health & Retardation Pine Belt Men |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982610572 PECOS PAC ID: 3971561747 Enrollment ID: O20041227000393 |
Mailing Address | Practice Location Address |
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Garland W King Jr, LPC 80 James Switzer Rd, Purvis, MS 39475-3037 Ph: (601) 705-1901 | Garland W King Jr, LPC 80 James Switzer Rd, Purvis, MS 39475-3037 Ph: (601) 705-1901 |
Dr. William Spears, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 54 Oak Haven Rd, Purvis, MS 39475 Phone: 601-261-9918 Fax: 601-261-9918 | |
Mckenzie Irish, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Highway 589, Purvis, MS 39475 Phone: 601-794-6543 | |
Vickie Lewis, CCSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Highway 589, Purvis, MS 39475 Phone: 601-794-6543 | |
Ms. Shannon Love, LPC-S, NCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Brewer Rd, Purvis, MS 39475 Phone: 769-208-3042 | |
Amanda Dortch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Highway 589, Purvis, MS 39475 Phone: 601-794-6543 Fax: 601-794-2455 | |
Kaliyah Hughes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Highway 589, Purvis, MS 39475 Phone: 601-794-6543 Fax: 601-794-2455 | |
Dajionnea Booth, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Highway 589, Purvis, MS 39475 Phone: 601-794-6543 |