Mr Christian Brooks Shearer, LPC | |
1200 N State St # 450, Jackson, MS 39202-2000 | |
(601) 957-7343 | |
Not Available |
Full Name | Mr Christian Brooks Shearer |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1200 N State St # 450, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841973716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2559 (Mississippi) | Primary |
Entity Name | Impact Behavioral Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386169050 PECOS PAC ID: 1355604836 Enrollment ID: O20180416000807 |
Mailing Address | Practice Location Address |
---|---|
Mr Christian Brooks Shearer, LPC 1200 N State St # 450, Jackson, MS 39202-2000 Ph: (601) 957-7343 | Mr Christian Brooks Shearer, LPC 1200 N State St # 450, Jackson, MS 39202-2000 Ph: (601) 957-7343 |
Mrs. Denease Inez Bishop, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1855 Lakeland Dr, Suite P101, Jackson, MS 39216 Phone: 601-278-6790 | |
Robert Caleb Cauthen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1513 Lakeland Dr, Jackson, MS 39216 Phone: 769-777-1000 | |
Diane Lois Sanford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 E River Pl Ste 100, Jackson, MS 39202 Phone: 769-251-5550 | |
Jamaal Murriel, MS,PCAT, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr, Jackson, MS 39216 Phone: 601-718-2468 | |
Cheryl Marie Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 Edgewood Terrace Dr, Jackson, MS 39206 Phone: 601-487-6344 Fax: 601-398-0289 | |
Mr. Dennis Morgan Hydrick Jr., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1465 Lakeland Dr, Jackson, MS 39216 Phone: 601-573-8548 Fax: 601-968-0021 | |
Ms. Delesia S Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 E River Pl Ste 100, Jackson, MS 39202 Phone: 769-251-5550 |