Rebecca Holloway, LPC | |
1410 Pickwick St, Savannah, TN 38372-3519 | |
(731) 925-5699 | |
(731) 658-1597 |
Full Name | Rebecca Holloway |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1410 Pickwick St, Savannah, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891312591 | NPI | - | NPPES |
3706936 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC4933 (Tennessee) | Secondary |
101YM0800X | Counselor - Mental Health | LPC4933 (Tennessee) | Primary |
Entity Name | Mental Health Centers & Clinics Of Tennessee |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255442794 PECOS PAC ID: 3678475621 Enrollment ID: O20040121001005 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Holloway, LPC 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 203-1011 | Rebecca Holloway, LPC 1410 Pickwick St, Savannah, TN 38372-3519 Ph: (731) 925-5699 |
Melissa Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St S, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699 | |
Tammy Hayes, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St S, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699 | |
Larry Phillips, B.S.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St S, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699 | |
Alissa Mcginley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699 | |
Belinda J Dickson, LPC, MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 395 Florence Road, Savannah, TN 38372 Phone: 731-925-2727 Fax: 731-925-2802 | |
Mary Katherine Hardwick, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Pickwick St S, Savannah, TN 38372 Phone: 731-925-5054 Fax: 731-925-5699 | |
Loren Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 855 Pickwick St, Savannah, TN 38372 Phone: 731-503-3190 |