Thomas C Peterson, LPC | |
423 College St, Columbus, MS 39701-5772 | |
(662) 769-2331 | |
Not Available |
Full Name | Thomas C Peterson |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 423 College St, Columbus, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316318553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2123 (Mississippi) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Heale Counseling Llc |
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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 |
---|---|
Thomas C Peterson, LPC 9320 Railroad Ave, Olive Branch, MS 38654-2416 Ph: (662) 893-1308 | Thomas C Peterson, LPC 423 College St, Columbus, MS 39701-5772 Ph: (662) 769-2331 |
Jacquelynn P Miskel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Bluecutt Rd Ste 201, Columbus, MS 39705 Phone: 662-434-4210 | |
Sharon Bell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Columbus, MS 39701 Phone: 662-328-9225 Fax: 662-328-4735 | |
John Mcmahon, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Columbus, MS 39701 Phone: 662-328-9225 Fax: 662-328-4735 | |
Quintara A Reese, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2623 5th St N, Columbus, MS 39705 Phone: 662-241-7091 | |
Shanta Newby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 24th Ave N, Columbus, MS 39705 Phone: 662-241-7097 | |
Akedra Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2623 5th St N, Columbus, MS 39705 Phone: 662-241-7097 | |
Emily Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Main St, Columbus, MS 39701 Phone: 662-327-7916 |