Miss Ashley Nicole Moss, LPC | |
2434 S Eason Blvd, Tupelo, MS 38804-6942 | |
(662) 640-4595 | |
(662) 680-6416 |
Full Name | Miss Ashley Nicole Moss |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2434 S Eason Blvd, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689006637 | NPI | - | NPPES |
1689006637 | Other | MS | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2258 (Mississippi) | Primary |
Entity Name | Sound Mind Psychiatry Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174157689 PECOS PAC ID: 2264856673 Enrollment ID: O20200717002584 |
Mailing Address | Practice Location Address |
---|---|
Miss Ashley Nicole Moss, LPC 2434 S Eason Blvd, Tupelo, MS 38804-6942 Ph: (662) 640-4595 | Miss Ashley Nicole Moss, LPC 2434 S Eason Blvd, Tupelo, MS 38804-6942 Ph: (662) 640-4595 |
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 | |
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 | |
Mr. Richard Eugene Dunnam, NCAC II, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Boone St, Tupelo, MS 38804 Phone: 662-844-3531 Fax: 662-844-1757 |