| Darsey, Black & Associates | |
|
215 E Court St Hinesville GA 31313-3606 | |
| (912) 876-4010 | |
| (912) 369-2262 |
| Full Name | Darsey, Black & Associates |
|---|---|
| Speciality | Counselor |
| Location | 215 E Court St, Hinesville, Georgia |
| Authorized Official Name and Position | William David Darsey (OWNER) |
| Authorized Official Contact | 9128764010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Darsey, Black & Associates 215 E Court St Hinesville GA 31313-3606 Ph: (912) 876-4010 | Darsey, Black & Associates 215 E Court St Hinesville GA 31313-3606 Ph: (912) 876-4010 |
| NPI Number | 1679588305 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264667666 |
|---|---|
| Medicare Enrollment ID | O20131018001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679588305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0021238 (Georgia) | Primary |
| Provider Name | Rebecca L Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780701482 PECOS PAC ID: 9436384831 Enrollment ID: I20131018001823 |
| Provider Name | Natasha Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477122034 PECOS PAC ID: 5698124808 Enrollment ID: I20231213003104 |
| Provider Name | Krystal Starr Horton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982944559 PECOS PAC ID: 6901243476 Enrollment ID: I20240319003731 |
| Provider Name | Melissa Ann Hilimire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619696804 PECOS PAC ID: 3274971650 Enrollment ID: I20240404000313 |
| Provider Name | Jennifer Kelsie Fussell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235847302 PECOS PAC ID: 6901244045 Enrollment ID: I20240409000930 |
| Provider Name | Jason Anthony Nietzke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033521687 PECOS PAC ID: 2365883949 Enrollment ID: I20240514001726 |
| Provider Name | Leigh Kirkland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134880149 PECOS PAC ID: 6305288598 Enrollment ID: I20240520001437 |
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