Kacey Tyson Tubbs, LPC, RSW | |
1001 W Madison Ave, Bastrop, LA 71220-4331 | |
(318) 281-8422 | |
Not Available |
Full Name | Kacey Tyson Tubbs |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1001 W Madison Ave, Bastrop, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720350457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4348 (Louisiana) | Primary |
Entity Name | Morehouse Community Medical Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053373191 PECOS PAC ID: 1254343593 Enrollment ID: O20060703000063 |
Mailing Address | Practice Location Address |
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Kacey Tyson Tubbs, LPC, RSW Po Box 792, Bastrop, LA 71221-0792 Ph: (318) 283-8887 | Kacey Tyson Tubbs, LPC, RSW 1001 W Madison Ave, Bastrop, LA 71220-4331 Ph: (318) 281-8422 |
Annie Massey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Curt Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Lee Antwine Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, 209 West Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Randy Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Franklin St, Bastrop, LA 71220 Phone: 318-410-1062 | |
Adrian Burnette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Nicole Dantzler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Felicia Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 |