| Whitfield Counseling Services | |
|
625 31st Ave N Apt H71 Columbus MS 39705-1858 | |
| (318) 617-2498 | |
| (377) 855-1829 |
| Full Name | Whitfield Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 625 31st Ave N Apt H71, Columbus, Mississippi |
| Authorized Official Name and Position | Mary L Talbert (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3378559023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitfield Counseling Services 625 31st Ave N Apt H71 Columbus MS 39705-1858 Ph: (318) 617-2498 | Whitfield Counseling Services 625 31st Ave N Apt H71 Columbus MS 39705-1858 Ph: (318) 617-2498 |
| NPI Number | 1528689213 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Medicare PECOS PAC ID | 2567808702 |
|---|---|
| Medicare Enrollment ID | O20240311003115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528689213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Brenda Ann Whitfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053822296 PECOS PAC ID: 6002252244 Enrollment ID: I20240311003300 |
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