Mr Dewey Dewayne Watkins, MS, LPC | |
4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | |
(228) 696-9224 | |
(228) 696-9228 |
Full Name | Mr Dewey Dewayne Watkins |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 4502 Lt Eugene J Majure Dr, Pascagoula, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356443121 | NPI | - | NPPES |
00018213 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1285 (Mississippi) | Primary |
Entity Name | Phoenix Behavioral Health Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093366775 PECOS PAC ID: 6204261985 Enrollment ID: O20200128000498 |
Mailing Address | Practice Location Address |
---|---|
Mr Dewey Dewayne Watkins, MS, LPC 2101 Highway 90, Gautier, MS 39553-5340 Ph: (228) 497-7576 | Mr Dewey Dewayne Watkins, MS, LPC 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 Ph: (228) 696-9224 |
Vanessa Hope Warren, MSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3452 Pascagoula St Ste 3, Pascagoula, MS 39567 Phone: 228-712-8024 | |
Mrs. Ebony Denise Scott, CPSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3452 Pascagoula St Ste 3&4, Pascagoula, MS 39567 Phone: 228-712-8024 Fax: 228-712-8027 | |
Dustin Pavolini, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4905 Telephone Rd, Pascagoula, MS 39567 Phone: 228-769-1280 | |
Holly Anne Reeves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5009 Telephone Rd, Pascagoula, MS 39567 Phone: 228-875-6113 Fax: 228-875-9065 | |
Betina Burns Anderson, MS, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3452 Pascagoula St, Pascagoula, MS 39567 Phone: 228-712-8024 | |
Demari Blakely, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4905 Telephone Rd, Pascagoula, MS 39567 Phone: 228-769-1280 | |
Mrs. Christie Ann Lockett, CSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3452 Pascagoula St Ste 103, Pascagoula, MS 39567 Phone: 228-712-8024 |