| Caring Hands Behavioral Health And Wellness Llc | |
|
314 Main St Ste B Monticello MS 39654-3702 | |
| (601) 587-4304 | |
| (601) 587-4515 |
| Full Name | Caring Hands Behavioral Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 314 Main St Ste B, Monticello, Mississippi |
| Authorized Official Name and Position | Deontranese Treva Taylor (OWNER) |
| Authorized Official Contact | 6015874304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Hands Behavioral Health And Wellness Llc Po Box 1400 Monticello MS 39654-1400 Ph: (601) 587-4304 | Caring Hands Behavioral Health And Wellness Llc 314 Main St Ste B Monticello MS 39654-3702 Ph: (601) 587-4304 |
| NPI Number | 1083300594 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Medicare PECOS PAC ID | 5092164756 |
|---|---|
| Medicare Enrollment ID | O20231207001285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083300594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Deontranese T Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619211992 PECOS PAC ID: 0941447981 Enrollment ID: I20130510000040 |
| Provider Name | Amanda Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801524293 PECOS PAC ID: 6608248455 Enrollment ID: I20230206000310 |
| Provider Name | Tomekia Yvette Luckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891553210 PECOS PAC ID: 2860830825 Enrollment ID: I20240410000333 |
| Provider Name | Rebecca Suzanne Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881447860 PECOS PAC ID: 0244670446 Enrollment ID: I20240506000996 |
Bridges Professional Counseling And Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1549 West Broad Street, Monticello, MS 39654 Phone: 601-806-5065 Fax: 833-207-2223 | |
S M Rm C Senior Life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-249-1164 |