Ms Kayonna Shanique Ferguson, | |
1110 Eldon Baker Dr, Flint, MI 48507-1923 | |
(810) 742-3134 | |
(810) 785-4931 |
Full Name | Ms Kayonna Shanique Ferguson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1110 Eldon Baker Dr, Flint, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548474752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Alternative Community Living Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114131729 PECOS PAC ID: 6608864350 Enrollment ID: O20040503001021 |
Entity Name | Hope Network S E |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609859537 PECOS PAC ID: 8628159936 Enrollment ID: O20080112000036 |
Mailing Address | Practice Location Address |
---|---|
Ms Kayonna Shanique Ferguson, G5133 Clio Rd, Flint, MI 48504-1266 Ph: (810) 785-4930 | Ms Kayonna Shanique Ferguson, 1110 Eldon Baker Dr, Flint, MI 48507-1923 Ph: (810) 742-3134 |
Mr. Reginald H Coleman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: G-3163 Flushing Rd, Ste 106, Flint, MI 48504 Phone: 810-249-9924 | |
Jacqueline Gallant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 Lapeer Rd, Flint, MI 48503 Phone: 810-232-7919 | |
Sheila Lamarque, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 S Saginaw St, Flint, MI 48502 Phone: 810-257-3453 | |
Linda L Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 108, Flint, MI 48503 Phone: 810-232-2766 Fax: 810-232-2782 | |
Tami A Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 108, Flint, MI 48503 Phone: 810-232-2766 Fax: 810-232-2782 | |
M Carey Delevie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 204, Flint, MI 48503 Phone: 810-213-1785 Fax: 810-496-8539 | |
Starla J Hovey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Flint, MI 48503 Phone: 810-232-2766 Fax: 810-232-2782 |