Aspire Counseling, Llc | |
411 Maryland Ave Ofc B Mccomb MS 39648-3966 | |
(601) 300-4608 | |
Not Available |
Full Name | Aspire Counseling, Llc |
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Speciality | Social Worker |
Location | 411 Maryland Ave Ofc B, Mccomb, Mississippi |
Authorized Official Name and Position | Brandie Tero Kohn (OWNER/SOLE MEMBER) |
Authorized Official Contact | 6013953616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspire Counseling, Llc 411 Maryland Ave Ofc B Mccomb MS 39648-3966 Ph: (601) 300-4608 | Aspire Counseling, Llc 411 Maryland Ave Ofc B Mccomb MS 39648-3966 Ph: (601) 300-4608 |
NPI Number | 1396497814 |
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Provider Enumeration Date | 01/25/2022 |
Last Update Date | 01/25/2022 |
Certification Date | 01/25/2022 |
Medicare PECOS PAC ID | 3577958305 |
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Medicare Enrollment ID | O20220315000349 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396497814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Brandie Tero Kohn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518619022 PECOS PAC ID: 4486049210 Enrollment ID: I20220329002410 |
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