Kathy Gray, | |
1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | |
(601) 781-8677 | |
Not Available |
Full Name | Kathy Gray |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1120 E Main St Ste 24, Philadelphia, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952548646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | East Central Mississippi Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387619 PECOS PAC ID: 0941103717 Enrollment ID: O20040129000363 |
Mailing Address | Practice Location Address |
---|---|
Kathy Gray, 1120 E Main St, Suite 24, Philadelphia, MS 39350 Ph: (601) 781-8677 | Kathy Gray, 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 Ph: (601) 781-8677 |
Mrs. Brandy Spencer Rea, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 S Church Ave, Philadelphia, MS 39350 Phone: 601-562-6906 Fax: 601-207-7720 | |
Mr. Jerry Lovorn, MA, LPC. Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Tabby Dr, Philadelphia, MS 39350 Phone: 601-562-9126 | |
Aislin Boler Jayroe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main St Ste 4, Philadelphia, MS 39350 Phone: 601-416-1860 | |
Olivia P Young, LPC Counselor Medicare: Medicare Enrolled Practice Location: 532 Main St, Philadelphia, MS 39350 Phone: 601-781-8677 Fax: 601-676-0550 | |
Selena Estes-walls, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main, Suite 21, Philadelphia, MS 39350 Phone: 662-803-7285 Fax: 601-568-5016 | |
Tremmia Smith, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main St, Suite 21, Philadelphia, MS 39350 Phone: 601-416-5718 Fax: 601-568-5032 | |
Thomas Shoffner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 271 W Beacon St, Philadelphia, MS 39350 Phone: 601-389-8284 Fax: 601-781-4233 |