| Behavioral Consultant Solutions, Llc | |
|
313 Abbey Ct Biloxi MS 39531-4023 | |
| (601) 408-0719 | |
| Not Available |
| Full Name | Behavioral Consultant Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 313 Abbey Ct, Biloxi, Mississippi |
| Authorized Official Name and Position | Edrick T Hibbler (MANAGER) |
| Authorized Official Contact | 6014080719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Consultant Solutions, Llc 18 Erlene Watts Rd Richton MS 39476-9113 Ph: (601) 408-0719 | Behavioral Consultant Solutions, Llc 313 Abbey Ct Biloxi MS 39531-4023 Ph: (601) 408-0719 |
| NPI Number | 1275282311 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Medicare PECOS PAC ID | 1951777572 |
|---|---|
| Medicare Enrollment ID | O20221021001154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275282311 | NPI | - | NPPES |
| Provider Name | Toni L. Ladner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922374057 PECOS PAC ID: 6507027588 Enrollment ID: I20120418000785 |
| Provider Name | Phaedra Briana Mclin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801298278 PECOS PAC ID: 5193947455 Enrollment ID: I20141121000319 |
| Provider Name | Richard B Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306147947 PECOS PAC ID: 5496079428 Enrollment ID: I20150123000035 |
| Provider Name | Terrance Joseph Skidmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851697635 PECOS PAC ID: 2769801844 Enrollment ID: I20200924000005 |
| Provider Name | Marly Jill Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801568639 PECOS PAC ID: 8820486079 Enrollment ID: I20211021000675 |
| Provider Name | Jerryl Mcgowan Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437819513 PECOS PAC ID: 8426438375 Enrollment ID: I20221102003306 |
| Provider Name | Marcia Jones Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992467898 PECOS PAC ID: 2769839059 Enrollment ID: I20231108000714 |
| Provider Name | Victoria Rachelle Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922874668 PECOS PAC ID: 0143661058 Enrollment ID: I20240509001874 |
| Provider Name | Ashley Early King-profit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699261230 PECOS PAC ID: 4284176231 Enrollment ID: I20240606001032 |
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