|
| |
|
2889 South Lamar Blvd Oxford MS 38655 | |
| (662) 432-1221 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2889 South Lamar Blvd, Oxford, Mississippi |
| Authorized Official Name and Position | Jay Howell (CHIEF REVENUE CYCLE) |
| Authorized Official Contact | 6624324106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 7058 Tupelo MS 38802-7058 Ph: () - | 2889 South Lamar Blvd Oxford MS 38655 Ph: (662) 432-1221 |
| NPI Number | 1477254332 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Medicare PECOS PAC ID | 4587100615 |
|---|---|
| Medicare Enrollment ID | O20240724003401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477254332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Reid Andrew Holly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407576382 PECOS PAC ID: 5890165914 Enrollment ID: I20230106001360 |
| Provider Name | Nathan C Best |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376918433 PECOS PAC ID: 4981140035 Enrollment ID: I20240724004073 |
| Provider Name | Adole Muruako |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073128641 PECOS PAC ID: 4082151865 Enrollment ID: I20240730003113 |
| Provider Name | Matthew M Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538622147 PECOS PAC ID: 1759828445 Enrollment ID: I20240730003843 |
| Provider Name | Davis Abraham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326793654 PECOS PAC ID: 8426595125 Enrollment ID: I20240730004221 |
| Provider Name | Jerry D Worsham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336339498 PECOS PAC ID: 3870030943 Enrollment ID: I20240807001099 |
Pathways Counseling Service, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Westminster Dr, Oxford, MS 38655 Phone: 662-561-5765 | |
Mhk Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Glen Alden Cir, Oxford, MS 38655 Phone: 630-886-3257 | |
Lafayette Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2887 S Lamar Blvd, Oxford, MS 38655 Phone: 662-638-8877 | |
Cdl Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2690 W Oxford Loop Ste 146, Oxford, MS 38655 Phone: 662-801-5535 | |
Acceptance Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2692 W Oxford Loop, Oxford, MS 38655 Phone: 662-533-0220 | |
Oxford Play Therapy Training Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2653 W Oxford Loop, Suite 104, Oxford, MS 38655 Phone: 662-234-6848 Fax: 662-234-9792 |