| Mrs Tay Angell Nielsen, LCSW | |
|
559 Clubhouse Dr, Pearl, MS 39208-9506 | |
| (601) 932-0958 | |
| Not Available |
| Full Name | Mrs Tay Angell Nielsen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 559 Clubhouse Dr, Pearl, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083824270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C5559 (Mississippi) | Primary |
| Entity Name | Integrated Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029 |
| Entity Name | Russellville Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tay Angell Nielsen, LCSW 559 Clubhouse Dr, Pearl, MS 39208-9506 Ph: (601) 932-0958 | Mrs Tay Angell Nielsen, LCSW 559 Clubhouse Dr, Pearl, MS 39208-9506 Ph: (601) 932-0958 |
Sarah Harrell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5611 Highway 80 E, Pearl, MS 39208 Phone: 601-939-6634 | |
Mrs. Alexandra Morris Benoit, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Oak Park Cv, Pearl, MS 39208 Phone: 985-855-2395 | |
Mrs. Yalonda Roshay Holmes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Clubhouse Dr, Pearl, MS 39208 Phone: 601-572-7414 |