Jennifer Brooke Gregory-lyles, LCMHC | |
1925 N Bridge St Ste 101, Elkin, NC 28621-2105 | |
(368) 357-3373 | |
(336) 835-7301 |
Full Name | Jennifer Brooke Gregory-lyles |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1925 N Bridge St Ste 101, Elkin, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164756045 | NPI | - | NPPES |
1164756045 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 7499 (North Carolina) | Primary |
101YP2500X | Counselor - Professional | 7499 (North Carolina) | Secondary |
Entity Name | High Country Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336606938 PECOS PAC ID: 8628225190 Enrollment ID: O20200106001184 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Brooke Gregory-lyles, LCMHC Po Box 1490, Boone, NC 28607-1490 Ph: (828) 262-3886 | Jennifer Brooke Gregory-lyles, LCMHC 1925 N Bridge St Ste 101, Elkin, NC 28621-2105 Ph: (368) 357-3373 |
Suzanne Janean Hillin, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 340 Hawthorne Rd, Elkin, NC 28621 Phone: 336-838-1644 Fax: 336-667-7720 | |
Mrs. Ginger Isenhoward, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Samaritans Ridge Ct, Elkin, NC 28621 Phone: 336-818-0733 | |
Joseph Warren Bretz Iv, M.ED., LPC Counselor Medicare: Medicare Enrolled Practice Location: 340 Hawthorne Rd, Elkin, NC 28621 Phone: 336-838-1644 Fax: 336-667-7720 | |
Cheryl Wolfe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 Samaritan Ridge Road, Elkin, NC 28621 Phone: 336-526-8335 | |
Carl Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 W Main St, Elkin, NC 28621 Phone: 336-526-8335 | |
Christine Booher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Westover Dr, Elkin, NC 28621 Phone: 336-835-3403 |