| Magnolia Counseling Clinic | |
|
590 Highway 6 E Batesville MS 38606-3002 | |
| (662) 563-8703 | |
| Not Available |
| Full Name | Magnolia Counseling Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 590 Highway 6 E, Batesville, Mississippi |
| Authorized Official Name and Position | Cody Williams Goss (OFFICE MANAGER) |
| Authorized Official Contact | 6625638703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling Clinic 590 Highway 6 E Batesville MS 38606-3002 Ph: (662) 563-8703 | Magnolia Counseling Clinic 590 Highway 6 E Batesville MS 38606-3002 Ph: (662) 563-8703 |
| NPI Number | 1952940454 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 01/13/2020 |
| Certification Date | 01/13/2020 |
| Medicare PECOS PAC ID | 5496176109 |
|---|---|
| Medicare Enrollment ID | O20200605000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952940454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Melanie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235414145 PECOS PAC ID: 6406020114 Enrollment ID: I20111115000473 |
| Provider Name | Cedric Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215224563 PECOS PAC ID: 1153597935 Enrollment ID: I20111228000404 |
| Provider Name | Robin Daleke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649598319 PECOS PAC ID: 3173774510 Enrollment ID: I20180817001050 |
| Provider Name | Emily Mccormac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730656422 PECOS PAC ID: 5799023552 Enrollment ID: I20190221000163 |
| Provider Name | Roxie Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144780826 PECOS PAC ID: 3375873631 Enrollment ID: I20190930001207 |
| Provider Name | Gwenette Barron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700269677 PECOS PAC ID: 1153721097 Enrollment ID: I20210614002601 |
| Provider Name | Lisa Renee Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922778935 PECOS PAC ID: 2264829001 Enrollment ID: I20220427000258 |
| Provider Name | Angela M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144965898 PECOS PAC ID: 8527433515 Enrollment ID: I20230404002821 |
Panola Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 662-563-5611 | |
Batesville Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Keating Rd, Batesville, MS 38606 Phone: 662-561-4013 Fax: 662-561-4060 | |
Tri Lakes Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 662-712-2377 Fax: 662-712-2481 | |
Tri Lakes Medical Center Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 662-563-5611 | |
Merit Health Batesville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Keating Rd, Batesville, MS 38606 Phone: 662-563-5611 Fax: 662-563-0155 | |
Region Iv Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Randy Hendrix Dr, Batesville, MS 38606 Phone: 662-563-9176 Fax: 662-563-7384 | |
Panola Medical Center West Campus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Keating Rd, Batesville, MS 38606 Phone: 662-561-4075 |