Ms Virginia Wilson, LPC | |
1212 E Canal St, Picayune, MS 39466-4706 | |
(601) 559-6616 | |
Not Available |
Full Name | Ms Virginia Wilson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1212 E Canal St, Picayune, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750631420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2850 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Ms Virginia Wilson, LPC 19411 Helenberg Rd Ste 101, Covington, LA 70433-5199 Ph: (985) 893-2522 | Ms Virginia Wilson, LPC 1212 E Canal St, Picayune, MS 39466-4706 Ph: (601) 559-6616 |
Hollie Krohn Mccollister, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 W Canal St, Picayune, MS 39466 Phone: 228-326-3036 | |
Mrs. Lisa A Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Street A Ste C, Picayune, MS 39466 Phone: 601-569-5311 | |
Miss Raquel Nichole Carroll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2007 Wildwood Rd, Picayune, MS 39466 Phone: 769-926-2657 | |
Tracey Michelle Mark-boston, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 W Canal St, Picayune, MS 39466 Phone: 601-749-9477 | |
Kashunta Lasheri Merritt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2007 Wildwood Rd, Picayune, MS 39466 Phone: 769-926-2657 | |
Leah Bell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Highway 11 S, Picayune, MS 39466 Phone: 604-798-7001 Fax: 601-799-4481 | |
Darlene Seals, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2007 Wildwood Dr, Picayune, MS 39466 Phone: 769-926-2657 Fax: 769-926-2658 |