| Intune Counseling, Llc | |
|
7075 Golden Oaks Loop W Ste 9 Southaven MS 38671-9011 | |
| (901) 361-3470 | |
| Not Available |
| Full Name | Intune Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7075 Golden Oaks Loop W Ste 9, Southaven, Mississippi |
| Authorized Official Name and Position | Madison Leigh Akridge (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9013613470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intune Counseling, Llc Po Box 70265 Albany GA 31708-0265 Ph: (662) 403-7573 | Intune Counseling, Llc 7075 Golden Oaks Loop W Ste 9 Southaven MS 38671-9011 Ph: (901) 361-3470 |
| NPI Number | 1811260482 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 08/02/2021 |
| Certification Date | 07/08/2021 |
| Medicare PECOS PAC ID | 0143572735 |
|---|---|
| Medicare Enrollment ID | O20181009003399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811260482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Madison L Akridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396883757 PECOS PAC ID: 5193071033 Enrollment ID: I20180706000725 |
| Provider Name | Belinda T Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437186145 PECOS PAC ID: 4880508084 Enrollment ID: I20200821001153 |
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