Olivia P Young, LPC | |
532 Main St, Philadelphia, MS 39350-2562 | |
(601) 781-8677 | |
(601) 676-0550 |
Full Name | Olivia P Young |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 532 Main St, Philadelphia, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477206134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2386 (Mississippi) | Primary |
Entity Name | Right Track Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972080257 PECOS PAC ID: 8729403415 Enrollment ID: O20200728003297 |
Mailing Address | Practice Location Address |
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Olivia P Young, LPC 532 Main St, Philadelphia, MS 39350-2562 Ph: (601) 781-8677 | Olivia P Young, LPC 532 Main St, Philadelphia, MS 39350-2562 Ph: (601) 781-8677 |
Mrs. Brandy Spencer Rea, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 S Church Ave, Philadelphia, MS 39350 Phone: 601-562-6906 Fax: 601-207-7720 | |
Mr. Jerry Lovorn, MA, LPC. Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Tabby Dr, Philadelphia, MS 39350 Phone: 601-562-9126 | |
Aislin Boler Jayroe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main St Ste 4, Philadelphia, MS 39350 Phone: 601-416-1860 | |
Selena Estes-walls, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main, Suite 21, Philadelphia, MS 39350 Phone: 662-803-7285 Fax: 601-568-5016 | |
Tremmia Smith, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main St, Suite 21, Philadelphia, MS 39350 Phone: 601-416-5718 Fax: 601-568-5032 | |
Thomas Shoffner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 271 W Beacon St, Philadelphia, MS 39350 Phone: 601-389-8284 Fax: 601-781-4233 |