Mrs Jennifer Lee Haney, LPC | |
12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | |
(228) 326-5192 | |
Not Available |
Full Name | Mrs Jennifer Lee Haney |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 12337 Ashley Dr Ste C, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841426525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC (Mississippi) | Secondary |
101YP2500X | Counselor - Professional | 1446 (Mississippi) | Primary |
Entity Name | Brightside Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230711002961 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Lee Haney, LPC 92 Roland Rd, Perkinston, MS 39573-5040 Ph: (228) 326-5192 | Mrs Jennifer Lee Haney, LPC 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 Ph: (228) 326-5192 |
Mrs. Brenda Kay Crew, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 127 Gary St, Gulfport, MS 39503 Phone: 228-832-4495 Fax: 228-832-4495 | |
Mrs. Ashira Windsor, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1601 30th Ave, Gulfport, MS 39501 Phone: 228-284-2644 Fax: 855-402-2013 | |
Krystal Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-213-5888 Fax: 228-575-3433 | |
Christina Machelle Davis, P-LPC, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2352 E Pass Rd, Gulfport, MS 39507 Phone: 228-284-2337 Fax: 228-284-2337 | |
Cynthia Willett, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 | |
Ms. Rita A Rademacher, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 Fax: 228-865-1700 | |
Olivia Vepley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 363-222-8206 |