Miss Amanda Megan Young Nibber, LPCC | |
10710 Old Highway 64, Bolivar, TN 38008-3587 | |
(731) 658-6113 | |
(731) 658-1597 |
Full Name | Miss Amanda Megan Young Nibber |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 10710 Old Highway 64, Bolivar, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508142977 | NPI | - | NPPES |
Entity Name | Behavioral Healthcare Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730112483 PECOS PAC ID: 3274625132 Enrollment ID: O20090407000362 |
Mailing Address | Practice Location Address |
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Miss Amanda Megan Young Nibber, LPCC 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 658-6113 | Miss Amanda Megan Young Nibber, LPCC 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 658-6113 |
Marvin Gary Gill, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Harlis Reese, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Michelle Guia, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Mr. Broderick Webster Sr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Tennessee St, Bolivar, TN 38008 Phone: 731-228-9068 Fax: 901-425-9773 | |
Lafonda Boyd, BLS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Edward Daniel Hamer, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-1597 | |
Jacob Isaac Latham, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 |