Ms Charity Ruth Gordon, LPC | |
100 Starr Ave, Ste K, Starkville, MS 39759 | |
(662) 340-5947 | |
(662) 236-3071 |
Full Name | Ms Charity Ruth Gordon |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 100 Starr Ave, Starkville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497420228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2875 (Mississippi) | Secondary |
101YM0800X | Counselor - Mental Health | P-0605 (Mississippi) | Primary |
Entity Name | Starkville Wellness Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437763240 PECOS PAC ID: 3072982545 Enrollment ID: O20230127001982 |
Mailing Address | Practice Location Address |
---|---|
Ms Charity Ruth Gordon, LPC 106 Hillcrest Dr., Houston, MS 38851 Ph: (662) 239-7521 | Ms Charity Ruth Gordon, LPC 100 Starr Ave, Ste K, Starkville, MS 39759 Ph: (662) 340-5947 |
Dustin Adams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-324-9647 | |
Melissa Madden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-323-9380 | |
Courtney Welch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-3918 | |
Katherine Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 796 Us 45 Alternate South, Starkville, MS 39759 Phone: 662-338-1880 Fax: 844-270-2703 | |
Loretta Fields, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-323-9380 | |
Alicia Vickers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Starr Ave Ste K, Starkville, MS 39759 Phone: 662-340-5947 | |
Kaitlyn Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Stark Rd # Suietf, Starkville, MS 39759 Phone: 662-601-4011 |