Lakendra Shaunte Pugh, | |
129 Clark St, Grove Hill, AL 36451-3050 | |
(251) 275-4165 | |
(251) 575-9459 |
Full Name | Lakendra Shaunte Pugh |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 129 Clark St, Grove Hill, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194407239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Southwest Alabama Behavioral Health Care Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881628162 PECOS PAC ID: 5395762835 Enrollment ID: O20051025000128 |
Mailing Address | Practice Location Address |
---|---|
Lakendra Shaunte Pugh, Po Box 964, Monroeville, AL 36461-0964 Ph: (251) 575-4203 | Lakendra Shaunte Pugh, 129 Clark St, Grove Hill, AL 36451-3050 Ph: (251) 275-4165 |
Jenny Manchester, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Clark St, Grove Hill, AL 36451 Phone: 251-275-4165 Fax: 251-575-9459 | |
Keshia Shulunda Mcgirt, M.S., ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Carter Dr, Grove Hill, AL 36451 Phone: 251-275-4135 Fax: 251-275-2862 | |
Ms. Gena Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Clark St, Grove Hill, AL 36451 Phone: 251-275-4165 | |
Mrs. Crystal Agee-thomas, M.S.A.C.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Clark St, Grove Hill, AL 36451 Phone: 251-275-4165 Fax: 251-275-4807 | |
Jonathan Chaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Carter Dr, Grove Hill, AL 36451 Phone: 251-275-4136 | |
Jon Gage Ott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Clark St, Grove Hill, AL 36451 Phone: 251-575-4203 Fax: 251-575-9459 |