| Lycedia Gasaway, | |
|
1967 Emily St, Tupelo, MS 38804-8024 | |
| (662) 760-7963 | |
| Not Available |
| Full Name | Lycedia Gasaway |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1967 Emily St, Tupelo, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467293845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 010239 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | 2004 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lycedia Gasaway, 1967 Emily St, Tupelo, MS 38804-8024 Ph: (662) 760-7963 | Lycedia Gasaway, 1967 Emily St, Tupelo, MS 38804-8024 Ph: (662) 760-7963 |
Tiffany Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 Fax: 662-680-6416 | |
Alyssa Bridges, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Caitlyn Bouldin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Centrell Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Kayla Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-810-4125 | |
Keyaira Standifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Mrs. Dorothy Elder Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: Region Iii Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804 Phone: 662-844-1717 Fax: 662-680-6416 |