Ricardo Fraga, | |
4940 Hwy 39 N, Meridian, MS 39301-1019 | |
(601) 483-2864 | |
(601) 483-2806 |
Full Name | Ricardo Fraga |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4940 Hwy 39 N, Meridian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710281407 | NPI | - | NPPES |
1329 | Other | MS | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1329 (Mississippi) | Primary |
Entity Name | Heale Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093410243 PECOS PAC ID: 7416316880 Enrollment ID: O20230703000387 |
Mailing Address | Practice Location Address |
---|---|
Ricardo Fraga, 2057a Knox Rd, Meridian, MS 39301-8814 Ph: (601) 917-0161 | Ricardo Fraga, 4940 Hwy 39 N, Meridian, MS 39301-1019 Ph: (601) 483-2864 |
Debra Casey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821 | |
Renorda Christy Dukes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4927 Popular Springs Drive, Meridian, MS 39305 Phone: 601-484-5779 | |
Mrs. Paula J Hamilton, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Highway 39 N Ste A, Meridian, MS 39301 Phone: 601-483-4920 Fax: 601-483-4988 | |
Jessica Mccoy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821 Fax: 601-485-8727 | |
Mrs. Susan Young Jentoft, M.S., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 Windsor Rd, Meridian, MS 39305 Phone: 601-479-2345 Fax: 205-459-2629 | |
Alyece Loyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821 | |
Kenneth Tye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821 Fax: 601-485-8727 |