| Angela Tamayo, LCSW | |
|
146 Willow Branch Dr, Jackson, TN 38305-6624 | |
| (731) 217-4602 | |
| Not Available |
| Full Name | Angela Tamayo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 146 Willow Branch Dr, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144094350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 12561 (Tennessee) | Primary |
| 1041C0700X | Social Worker - Clinical | 9651 (Tennessee) | Secondary |
| Entity Name | Guiding Star Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518716414 PECOS PAC ID: 1850825720 Enrollment ID: O20241114002167 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Tamayo, LCSW 435 Metroplex Dr # 201, Nashville, TN 37211-3109 Ph: (615) 682-8150 | Angela Tamayo, LCSW 146 Willow Branch Dr, Jackson, TN 38305-6624 Ph: (731) 217-4602 |
Tony Hatley, LPC/MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Lamar Cir, Jackson, TN 38305 Phone: 731-220-2919 |
Doris Kay Black, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Murray Guard Dr, Jackson, TN 38305 Phone: 731-736-4400 |
Mrs. Robyn Elizabeth Mcdaniel, LPC/MHSP (TEMP), NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 384 Carriage House Dr Ste C, Jackson, TN 38305 Phone: 731-868-7297 |
Sarah Holny, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Ellis Dr, Jackson, TN 38301 Phone: 731-225-7869 |
Carrie Davis Burns, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: 238 Summar Dr, Jackson, TN 38301 Phone: 731-935-8200 |
Sonya Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Weatherford Sq, Jackson, TN 38305 Phone: 731-660-6760 Fax: 731-661-9152 |
Mrs. Linda Sue Hottenstein, M.ED,LPC/MHSP,RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 386 Carriage House Dr Ste A, Jackson, TN 38305 Phone: 731-664-0043 Fax: 731-664-0172 |