| Heale Counseling, Llc | |
|
302 S Spring St Tupelo MS 38804-4853 | |
| (662) 205-0098 | |
| Not Available |
| Full Name | Heale Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 S Spring St, Tupelo, Mississippi |
| Authorized Official Name and Position | Lena Clardy (CEO) |
| Authorized Official Contact | 6626604186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heale Counseling, Llc Po Box 68 Tupelo MS 38802-0068 Ph: (662) 660-4186 | Heale Counseling, Llc 302 S Spring St Tupelo MS 38804-4853 Ph: (662) 205-0098 |
| NPI Number | 1093410243 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Medicare PECOS PAC ID | 7416316880 |
|---|---|
| Medicare Enrollment ID | O20230703000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093410243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cheryl K Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487693024 PECOS PAC ID: 2860595568 Enrollment ID: I20070319000314 |
| Provider Name | Kathy J Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629016795 PECOS PAC ID: 4587742010 Enrollment ID: I20080423000464 |
| Provider Name | Frankie E Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053625012 PECOS PAC ID: 3577710763 Enrollment ID: I20120822000770 |
| Provider Name | Teresa Darlene Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437406485 PECOS PAC ID: 4880849801 Enrollment ID: I20150423000113 |
| Provider Name | Andrea Paige Pounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275182818 PECOS PAC ID: 1254662802 Enrollment ID: I20191011001082 |
| Provider Name | Lane Elizabeth Mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013146927 PECOS PAC ID: 7517383920 Enrollment ID: I20200817001365 |
| Provider Name | Bailey Lea Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194393603 PECOS PAC ID: 1456752195 Enrollment ID: I20210701001037 |
| Provider Name | Mahogany Monique Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316257074 PECOS PAC ID: 5991195984 Enrollment ID: I20211207000013 |
| Provider Name | Debra Wuichet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962012468 PECOS PAC ID: 8325408479 Enrollment ID: I20230720002147 |
| Provider Name | Shelley Y Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689786667 PECOS PAC ID: 4082623046 Enrollment ID: I20231016003726 |
| Provider Name | Catherine Frey Baldwyn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538505730 PECOS PAC ID: 2860844263 Enrollment ID: I20240122003069 |
| Provider Name | Thomas C Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316318553 PECOS PAC ID: 9234582065 Enrollment ID: I20240129002527 |
| Provider Name | Ricardo Fraga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710281407 PECOS PAC ID: 0648557249 Enrollment ID: I20240129002713 |
| Provider Name | Kristen Lindsey Cauley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174137673 PECOS PAC ID: 9032562707 Enrollment ID: I20240130000062 |
| Provider Name | Curtis Weaver Monts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699432351 PECOS PAC ID: 5294188918 Enrollment ID: I20240130001460 |
| Provider Name | Alora Morgan Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669253324 PECOS PAC ID: 9537502158 Enrollment ID: I20240209002626 |
| Provider Name | Emily M Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649041351 PECOS PAC ID: 0143666180 Enrollment ID: I20240312003330 |
| Provider Name | Shawn Fortenberry Churchill Coy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255425922 PECOS PAC ID: 9739565185 Enrollment ID: I20240411000035 |
| Provider Name | Sharon Gates-albert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487950978 PECOS PAC ID: 8123468956 Enrollment ID: I20240426002559 |
| Provider Name | Kristen D Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851743397 PECOS PAC ID: 6406398791 Enrollment ID: I20240531003867 |
| Provider Name | James Edwin Blackmon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376175521 PECOS PAC ID: 3476091042 Enrollment ID: I20240814000538 |
| Provider Name | Amanda Degnan Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295581486 PECOS PAC ID: 7517407257 Enrollment ID: I20240910000258 |
| Provider Name | Sarah Ruth Latham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538700562 PECOS PAC ID: 7810428026 Enrollment ID: I20240930000050 |
| Provider Name | Holly Anne Reeves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063761328 PECOS PAC ID: 8820520240 Enrollment ID: I20241010000558 |
| Provider Name | Jessica R Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679310197 PECOS PAC ID: 8729511068 Enrollment ID: I20241025000640 |
| Provider Name | Gloria Temple Holland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376958199 PECOS PAC ID: 8325334014 Enrollment ID: I20241120002003 |
| Provider Name | Jennifer B Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992117378 PECOS PAC ID: 6103136452 Enrollment ID: I20241128000023 |
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