| Holly D Fedele, LCSW | |
|
7204 Knollwood Dr, Biloxi, MS 39532-2910 | |
| (228) 297-2763 | |
| Not Available |
| Full Name | Holly D Fedele |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7204 Knollwood Dr, Biloxi, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225782162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C9126 (Mississippi) | Primary |
| Entity Name | Catalyst Counseling And Therapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477015444 PECOS PAC ID: 2365776911 Enrollment ID: O20190702000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly D Fedele, LCSW 7204 Knollwood Dr, Biloxi, MS 39532-2910 Ph: (228) 297-2763 | Holly D Fedele, LCSW 7204 Knollwood Dr, Biloxi, MS 39532-2910 Ph: (228) 297-2763 |
Meagan Parker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1046 Division St, Biloxi, MS 39530 Phone: 228-374-2494 | |
Ms. Kristian Delane Clark, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5362 | |
Atiya Nathan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 Eisenhower Dr Ste C2, Biloxi, MS 39531 Phone: 228-424-3427 | |
Ricardo Durel Bolton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-4783 | |
Marianne Marie Shaffer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 789 Sharon Hills Dr, Biloxi, MS 39532 Phone: 228-235-8011 | |
Alice Taake Entrekin, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-4664 Fax: 228-523-4336 | |
Ms. Cassandra Bishop Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-4773 Fax: 228-523-5807 |