Misty Weaver, LPC, CMHT | |
301 S Cass St, Corinth, MS 38834-6109 | |
(662) 286-9860 | |
(662) 286-8095 |
Full Name | Misty Weaver |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 301 S Cass St, Corinth, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295049294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2113 (Mississippi) | Primary |
101YM0800X | Counselor - Mental Health | 2368 (Mississippi) | Secondary |
Entity Name | Region Iv Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869537 PECOS PAC ID: 4688733991 Enrollment ID: O20081031000223 |
Mailing Address | Practice Location Address |
---|---|
Misty Weaver, LPC, CMHT Po Box 839, 301 Cass St, Corinth, MS 38835-0839 Ph: (662) 286-9860 | Misty Weaver, LPC, CMHT 301 S Cass St, Corinth, MS 38834-6109 Ph: (662) 286-9860 |
Ashley L Saulter, PCMHT, NCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 South Cass Street, Corinth, MS 38834 Phone: 662-286-2152 Fax: 662-286-8095 | |
Thomas Wilson Harington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Foote St, Corinth, MS 38834 Phone: 662-287-4424 Fax: 662-287-2070 | |
David Matthew Ellis, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2664 S Harper Rd, Corinth, MS 38834 Phone: 662-287-4055 Fax: 662-287-4114 | |
Latoya Yvette Cobbs, PCCMP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2664 S Harper Rd, Corinth, MS 38834 Phone: 662-287-4055 Fax: 662-287-4114 | |
Ida Pat Patterson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Foote St, Corinth, MS 38834 Phone: 662-287-4424 Fax: 662-286-8095 | |
Tammy Robertson, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 New Hope Road, Corinth, MS 38834 Phone: 662-287-7199 Fax: 662-286-8095 | |
Ladonna Pybus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 806 S Parkway St, Corinth, MS 38834 Phone: 662-536-6210 |