| Timber Hills Mental Health | |
|
2664 S Harper Rd Corinth MS 38834-6723 | |
| (662) 287-4055 | |
| Not Available |
| Full Name | Timber Hills Mental Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2664 S Harper Rd, Corinth, Mississippi |
| Authorized Official Name and Position | Jason Ramey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6622869883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timber Hills Mental Health Po Box 839 303 N Madison St Corinth MS 38835-0839 Ph: (662) 286-9883 | Timber Hills Mental Health 2664 S Harper Rd Corinth MS 38834-6723 Ph: (662) 287-4055 |
| NPI Number | 1699869537 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/26/2023 |
| Certification Date | 07/19/2022 |
| Medicare PECOS PAC ID | 4688733991 |
|---|---|
| Medicare Enrollment ID | O20081031000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699869537 | NPI | - | NPPES |
| 00018204 | Medicaid | MS | |
| 000018204 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578653218 PECOS PAC ID: 3971585290 Enrollment ID: I20040602000191 |
| Provider Name | Thomas D Fowlkes |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1477649218 PECOS PAC ID: 8123055985 Enrollment ID: I20050722000727 |
| Provider Name | Alfredo Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164434882 PECOS PAC ID: 4284733916 Enrollment ID: I20071213000336 |
| Provider Name | Tracey Q Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477888790 PECOS PAC ID: 9234274630 Enrollment ID: I20100310000533 |
| Provider Name | Pamela Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982935623 PECOS PAC ID: 8325175284 Enrollment ID: I20100423000765 |
| Provider Name | Scott Patrick Baymiller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164436184 PECOS PAC ID: 3971406406 Enrollment ID: I20100519000024 |
| Provider Name | Kellye Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184844466 PECOS PAC ID: 0042250276 Enrollment ID: I20110707000629 |
| Provider Name | Stacey S Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437309978 PECOS PAC ID: 8921160078 Enrollment ID: I20120302000291 |
| Provider Name | Mary Cay B Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639477425 PECOS PAC ID: 1759540503 Enrollment ID: I20120314000265 |
| Provider Name | Sharla E Saylors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518231067 PECOS PAC ID: 1658531553 Enrollment ID: I20120330000395 |
| Provider Name | Frankie E Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053625012 PECOS PAC ID: 3577710763 Enrollment ID: I20120822000770 |
| Provider Name | Jeffrey Bernier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386658581 PECOS PAC ID: 7214105741 Enrollment ID: I20150625000151 |
| Provider Name | Margaret A Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700110764 PECOS PAC ID: 6204141450 Enrollment ID: I20150817001990 |
| Provider Name | Stephanie Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841406154 PECOS PAC ID: 4981613734 Enrollment ID: I20170201001029 |
| Provider Name | Staci Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851814875 PECOS PAC ID: 6305103888 Enrollment ID: I20171208001905 |
| Provider Name | Daniel F Shreeve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760597082 PECOS PAC ID: 9739156589 Enrollment ID: I20180926000526 |
| Provider Name | Carly O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992286777 PECOS PAC ID: 1557613775 Enrollment ID: I20181016001951 |
| Provider Name | Marshall P Vance |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952344483 PECOS PAC ID: 5698716447 Enrollment ID: I20181127001812 |
| Provider Name | Alicia Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621284 PECOS PAC ID: 4183849441 Enrollment ID: I20190320001381 |
| Provider Name | Skye Nichole Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679120190 PECOS PAC ID: 6103156674 Enrollment ID: I20190925003355 |
| Provider Name | Tommerria Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639715253 PECOS PAC ID: 4082035589 Enrollment ID: I20200610000602 |
| Provider Name | Hollie Moffatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962013664 PECOS PAC ID: 6608289459 Enrollment ID: I20210115001156 |
| Provider Name | Lacona L Blunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770173049 PECOS PAC ID: 0547677908 Enrollment ID: I20210331001025 |
| Provider Name | Deborah Dobbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982246617 PECOS PAC ID: 1355759523 Enrollment ID: I20210428001520 |
| Provider Name | Doris A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275035198 PECOS PAC ID: 4183987209 Enrollment ID: I20210922003105 |
| Provider Name | Tarunaben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346883162 PECOS PAC ID: 5496132425 Enrollment ID: I20220708002200 |
| Provider Name | Laycie D Mott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770769846 PECOS PAC ID: 7012351968 Enrollment ID: I20240219002296 |
| Provider Name | Misty L Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295049294 PECOS PAC ID: 3678918661 Enrollment ID: I20240229001833 |
| Provider Name | Samantha Boren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245910298 PECOS PAC ID: 4587009501 Enrollment ID: I20240229003036 |
| Provider Name | Amanda R Lambert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154507200 PECOS PAC ID: 8628416054 Enrollment ID: I20240404002473 |
| Provider Name | Ruby L Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467518274 PECOS PAC ID: 0446699565 Enrollment ID: I20240422001623 |
| Provider Name | Bradley W Kebodeaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447577002 PECOS PAC ID: 2668812462 Enrollment ID: I20240426001894 |
| Provider Name | Billy T Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558856351 PECOS PAC ID: 1355782384 Enrollment ID: I20240508002659 |
Region Iv Outpatient Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Cass St, Corinth, MS 38834 Phone: 662-286-9860 Fax: 662-286-8095 | |
Crossroads Counseling And Play Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Waldron St Ste B, Corinth, MS 38834 Phone: 662-396-1167 Fax: 662-260-7106 | |
Magnolia Regional Behavioral Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Be Well Therapeutics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Bridle Path, Corinth, MS 38834 Phone: 662-415-2553 | |
Region Iv Mental Health Services-nfusion Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Highway 72 E Anx, Corinth, MS 38834 Phone: 662-286-2152 Fax: 662-287-2070 | |
Mid-town Medical Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 815 Childs Street, Corinth, MS 38834 Phone: 662-665-0006 Fax: 662-665-9151 | |
Timber Hills Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Madison St, Corinth, MS 38834 Phone: 662-286-9883 Fax: 662-284-9836 |