| Jennifer Cooley Tannehill, PHD | |
|
32 Millbranch Rd Ste 20, Hattiesburg, MS 39402-1673 | |
| (601) 255-5264 | |
| (866) 625-0559 |
| Full Name | Jennifer Cooley Tannehill |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 32 Millbranch Rd Ste 20, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982228854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 265845 (Mississippi) | Secondary |
| 103T00000X | Psychologist | 621141 (Mississippi) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210415001555 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Cooley Tannehill, PHD 32 Millbranch Rd Ste 20, Hattiesburg, MS 39402-1673 Ph: (601) 255-5264 | Jennifer Cooley Tannehill, PHD 32 Millbranch Rd Ste 20, Hattiesburg, MS 39402-1673 Ph: (601) 255-5264 |
Dr. Kristy Disabatino Mcraney, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 Golden Eagle Avenue Rm 201, Hattiesburg, MS 39406 Phone: 601-266-4588 Fax: 601-266-6928 | |
Lynwood Clinton Wheeler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740 | |
John Clemmons, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 239 Methodist Blvd, Hattiesburg, MS 39402 Phone: 601-296-2125 Fax: 601-268-8645 | |
Marcia J Hartwig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5720 | |
Ryan Myles Denney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Southern Point Pkwy, Suite 200, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-268-2039 | |
John Richard Harsh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Courtenay Cir, Hattiesburg, MS 39402 Phone: 601-579-5180 | |
Dr. Sidne Buelow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 Dogwood Dr, Hattiesburg, MS 39402 Phone: 601-818-3079 |