| Yeates Consulting ,llc | |
|
104 Brickerton St Columbus MS 39701-3608 | |
| (662) 328-3110 | |
| Not Available |
| Full Name | Yeates Consulting ,llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 104 Brickerton St, Columbus, Mississippi |
| Authorized Official Name and Position | Edward L Yeates (PRESIDENT/CEO) |
| Authorized Official Contact | 6623283110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yeates Consulting ,llc 39 Maid Marion Cir Columbus MS 39705-3024 Ph: (662) 328-3110 | Yeates Consulting ,llc 104 Brickerton St Columbus MS 39701-3608 Ph: (662) 328-3110 |
| NPI Number | 1104235951 |
|---|---|
| Provider Enumeration Date | 08/06/2014 |
| Last Update Date | 08/07/2014 |
| Medicare PECOS PAC ID | 3678815396 |
|---|---|
| Medicare Enrollment ID | O20190430000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104235951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1835 (Mississippi) | Primary |
| Provider Name | Cynthia Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346337920 PECOS PAC ID: 4486757184 Enrollment ID: I20070319000330 |
| Provider Name | Shameca Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619362977 PECOS PAC ID: 7416265665 Enrollment ID: I20151007002887 |
| Provider Name | Felicia Gathings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396383501 PECOS PAC ID: 4284069352 Enrollment ID: I20200117001127 |
| Provider Name | Tawana Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881202182 PECOS PAC ID: 4486079779 Enrollment ID: I20200804000437 |
| Provider Name | Betty A Dobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558022665 PECOS PAC ID: 6406234046 Enrollment ID: I20220609002107 |
| Provider Name | Edward Yeates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700289519 PECOS PAC ID: 1456693175 Enrollment ID: I20240208004325 |
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