Mr Mark Baldwin, LPC-MHSP | |
575 S Royal St, Suite 24, Jackson, TN 38301-7307 | |
(731) 467-0504 | |
Not Available |
Full Name | Mr Mark Baldwin |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 575 S Royal St, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407069321 | NPI | - | NPPES |
1506474 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1878 (Tennessee) | Primary |
101YM0800X | Counselor - Mental Health | 1878 (Tennessee) | Secondary |
Entity Name | Lifeworks Resources Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811490964 PECOS PAC ID: 2860844560 Enrollment ID: O20240118001636 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Baldwin, LPC-MHSP 75 Holiday Dr, Jackson, TN 38305-3716 Ph: () - | Mr Mark Baldwin, LPC-MHSP 575 S Royal St, Suite 24, Jackson, TN 38301-7307 Ph: (731) 467-0504 |
Tony Hatley, LPC/MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Lamar Cir, Jackson, TN 38305 Phone: 731-220-2919 | |
Doris Kay Black, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Murray Guard Dr, Jackson, TN 38305 Phone: 731-736-4400 | |
Mrs. Robyn Elizabeth Mcdaniel, LPC/MHSP (TEMP), NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Carriage House Dr Ste C, Jackson, TN 38305 Phone: 731-868-7297 | |
Sonya Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Weatherford Sq, Jackson, TN 38305 Phone: 731-660-6760 Fax: 731-661-9152 | |
Mrs. Linda Sue Hottenstein, M.ED,LPC/MHSP,RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 386 Carriage House Dr Ste A, Jackson, TN 38305 Phone: 731-664-0043 Fax: 731-664-0172 | |
Dr. Samuel Lee Carney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Executive Dr, Jackson, TN 38305 Phone: 731-426-1820 Fax: 731-426-0675 | |
Justin Edward Crowder, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Lynoak Cv, Suite C, Jackson, TN 38305 Phone: 731-668-7593 Fax: 731-660-7512 |