Mary Reardon, LPC | |
1000 Kiln Delisle Rd Unit D, Pass Christian, MS 39571-9701 | |
(228) 460-3242 | |
Not Available |
Full Name | Mary Reardon |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1000 Kiln Delisle Rd Unit D, Pass Christian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073964219 | NPI | - | NPPES |
005383056 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 2082 (Mississippi) | Primary |
Entity Name | Flourish Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174278360 PECOS PAC ID: 7618314972 Enrollment ID: O20240321002727 |
Mailing Address | Practice Location Address |
---|---|
Mary Reardon, LPC Po Box 6643, Diamondhead, MS 39525-6600 Ph: (228) 460-3242 | Mary Reardon, LPC 1000 Kiln Delisle Rd Unit D, Pass Christian, MS 39571-9701 Ph: (228) 460-3242 |
Dr. Lela Weems, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6859 Kiln Delisle Rd # 1, Pass Christian, MS 39571 Phone: 228-255-1827 Fax: 228-255-1847 | |
Julie M Forrest, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 213 Henderson Ave, Pass Christian, MS 39571 Phone: 228-300-8819 Fax: 601-401-4289 | |
Christine Miller, LPC Counselor Medicare: Medicare Enrolled Practice Location: 213 Henderson Ave, Pass Christian, MS 39571 Phone: 228-300-8819 | |
Rachel N Sims, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Kiln Delisle Rd Unit D, Pass Christian, MS 39571 Phone: 228-218-6519 | |
Laura Pipoly, LPC, E.D.D, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7440 Live Oak Way, Pass Christian, MS 39571 Phone: 330-261-6485 Fax: 330-261-6485 | |
Nicole Valdes, LPC Counselor Medicare: Medicare Enrolled Practice Location: 300 Davis Ave Ste 100f, Pass Christian, MS 39571 Phone: 228-382-3252 |