Tiffany Alred Phillips, | |
302 S Spring St, Tupelo, MS 38804-4853 | |
(662) 841-8020 | |
Not Available |
Full Name | Tiffany Alred Phillips |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 302 S Spring St, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396104600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2058 (Mississippi) | Primary |
Entity Name | Counseling For A Cause, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831627405 PECOS PAC ID: 9335411396 Enrollment ID: O20170825001357 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Alred Phillips, 1325 S Thomas St, Tupelo, MS 38801-7220 Ph: (662) 687-0833 | Tiffany Alred Phillips, 302 S Spring St, Tupelo, MS 38804-4853 Ph: (662) 841-8020 |
Tiffany Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 Fax: 662-680-6416 | |
Alyssa Bridges, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Caitlyn Bouldin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Kayla Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-810-4125 | |
Keyaira Standifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Mrs. Dorothy Elder Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: Region Iii Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804 Phone: 662-844-1717 Fax: 662-680-6416 | |
Mr. Richard Eugene Dunnam, NCAC II, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Boone St, Tupelo, MS 38804 Phone: 662-844-3531 Fax: 662-844-1757 |