Miss Resa Frederick, MED, NCC, LPC is a
Counselor based in Mantachie, Mississippi. Miss Resa Frederick is licensed to practice in Mississippi (license number 2052) and her current practice location is
720 Oak Grove Rd, Mantachie, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 687-5994.
NPI number for Miss Resa Frederick is 1376813022 and her current mailing address is 720 Oak Grove Rd, Mantachie, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376813022.
Healthcare Provider's Profile
Full Name | Miss Resa Frederick |
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Gender | Female |
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Speciality | Counselor |
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Location | 720 Oak Grove Rd, Mantachie, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376813022
- Provider Enumeration Date: 01/11/2012
- Last Update Date: 11/28/2023
Medical Identifiers
Medical identifiers for Miss Resa Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376813022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101Y00000X | Counselor | 2052 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Resa Frederick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Resa Frederick, MED, NCC, LPC 720 Oak Grove Rd, Mantachie, MS 38855-8469 Ph: (662) 687-5994 | Miss Resa Frederick, MED, NCC, LPC 720 Oak Grove Rd, Mantachie, MS 38855-8469 Ph: (662) 687-5994 |
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