| Kelly Evans Joslin | |
|
604 W Main St Atlanta TX 75551-2529 | |
| (903) 796-0776 | |
| (903) 799-9776 |
| Full Name | Kelly Evans Joslin |
|---|---|
| Speciality | Counselor - Professional |
| Location | 604 W Main St, Atlanta, Texas |
| Authorized Official Name and Position | Kelly Evans Joslin (OWNER) |
| Authorized Official Contact | 9037960776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Evans Joslin Po Box 943 Atlanta TX 75551-0943 Ph: (903) 796-0776 | Kelly Evans Joslin 604 W Main St Atlanta TX 75551-2529 Ph: (903) 796-0776 |
| NPI Number | 1417931924 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417931924 | NPI | - | NPPES |
| 125519-0002 | Other | TX | CHIPS PROV.# |
| 2163LC | Other | TX | BLUECROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10888 (Texas) | Primary |
Etheredge And Shelton, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 E Hiram St, Atlanta, TX 75551 Phone: 903-796-5061 | |
Genesis Prime Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0802 | |
Atlanta Memorial Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 S William St, Atlanta, TX 75551 Phone: 903-799-3000 Fax: 903-799-3005 | |
Td Stanley Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1603 Holly St, Atlanta, TX 75551 Phone: 903-824-4471 | |
Christus St. Michael Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 S William St, Atlanta, TX 75551 Phone: 903-799-3000 Fax: 903-799-3005 |