Janice Moore, LPC | |
105 N 40th Ave, Hattiesburg, MS 39401-6606 | |
(769) 390-7929 | |
Not Available |
Full Name | Janice Moore |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 105 N 40th Ave, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497531677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3014 (Mississippi) | Primary |
Entity Name | Journeys Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255106480 PECOS PAC ID: 4486003118 Enrollment ID: O20231206004225 |
Mailing Address | Practice Location Address |
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Janice Moore, LPC Po Box 16805, Hattiesburg, MS 39404-6805 Ph: (769) 390-7929 | Janice Moore, LPC 105 N 40th Ave, Hattiesburg, MS 39401-6606 Ph: (769) 390-7929 |
Frances L Miller, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Cari Ann Gaunt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Pine St Ste C, Hattiesburg, MS 39401 Phone: 601-466-9296 | |
Sabrina Nicole Barnes, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Woodstone Plz Ste D, Hattiesburg, MS 39402 Phone: 769-390-7234 | |
Phyllis A Grinstead, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Ms. Amy Ricedorf, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4507 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-545-2925 Fax: 601-545-2926 | |
Jessica Robinett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Pine St, Hattiesburg, MS 39401 Phone: 601-268-8796 | |
Anna Kathleen Oglesby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Highpointe Dr, Hattiesburg, MS 39402 Phone: 817-999-2624 |