| Amanda Young, | |
|
1997 Highway 51 S, Covington, TN 38019-3630 | |
| (901) 870-6788 | |
| Not Available |
| Full Name | Amanda Young |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 14 Years |
| Location | 1997 Highway 51 S, Covington, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669844023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Care Services Of West Tn, Inc. | 0042115537 | 12 |
| Entity Name | Professional Care Services Of West Tn, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457351215 PECOS PAC ID: 0042115537 Enrollment ID: O20031208000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Young, 1997 Highway 51 S, Covington, TN 38019-3630 Ph: (901) 870-6788 | Amanda Young, 1997 Highway 51 S, Covington, TN 38019-3630 Ph: (901) 870-6788 |
Shana L Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1997 Highway 51 S, Covington, TN 38019 Phone: 901-476-8967 | |
Mrs. Kimberly Louise Wright, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1997 Highway 51 S, Covington, TN 38019 Phone: 901-313-1151 Fax: 901-313-1125 | |
Kimberly Pogue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1997 Highway 51 S, Covington, TN 38019 Phone: 901-476-8967 | |
Molly Tzila Rafaely, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1997 Highway 51 S, Covington, TN 38019 Phone: 901-476-8967 | |
Demetrice Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1997 Highway 51 S, Covington, TN 38019 Phone: 901-476-8967 Fax: 901-313-1124 | |
Gerald S Wood, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 Highway 51 N, Covington, TN 38019 Phone: 901-476-6759 Fax: 901-476-5799 | |
Mrs. Carmen Faye Pfeifer, MA, CRC, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 Highway 51 N, Covington, TN 38019 Phone: 901-476-6759 Fax: 901-476-5799 |