Dr Tonya Hall Smith, LPC, LMFT | |
1905b Mission 66 Ste 4d, Vicksburg, MS 39180-3711 | |
(601) 831-3304 | |
(601) 456-4212 |
Full Name | Dr Tonya Hall Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1905b Mission 66 Ste 4d, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073866513 | NPI | - | NPPES |
08574217 | Medicaid | MS |
Entity Name | Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538922133 PECOS PAC ID: 1850734617 Enrollment ID: O20240208001764 |
Mailing Address | Practice Location Address |
---|---|
Dr Tonya Hall Smith, LPC, LMFT 30 Mill Wood Cir, Vicksburg, MS 39180-1344 Ph: (601) 831-3304 | Dr Tonya Hall Smith, LPC, LMFT 1905b Mission 66 Ste 4d, Vicksburg, MS 39180-3711 Ph: (601) 831-3304 |
Kaila Virgil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3334 Wisconsin Ave., Vicksburg, MS 39180 Phone: 601-638-0031 | |
Tiffany Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950 | |
Felicia Wilson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950 | |
Heather Potts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 | |
Rosalyn Glascoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 | |
Ann Nelson, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950 | |
Mr. Walter Lee Frazier, MCP, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1414 Cherry St, Vicksburg, MS 39180 Phone: 601-636-5703 Fax: 601-636-5739 |