| Austin Leigh Jarrell, MS | |
|
801 Hill St, Springfield, TN 37172-2951 | |
| (615) 382-3002 | |
| Not Available |
| Full Name | Austin Leigh Jarrell |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 801 Hill St, Springfield, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821630161 | NPI | - | NPPES |
| Q056567 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Impact Behavioral Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386169050 PECOS PAC ID: 1355604836 Enrollment ID: O20190404001313 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Leigh Jarrell, MS 557 Somerset Ln, Clarksville, TN 37042-6082 Ph: (615) 423-6735 | Austin Leigh Jarrell, MS 801 Hill St, Springfield, TN 37172-2951 Ph: (615) 382-3002 |
Tamika Vaughn, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-925-9594 | |
Mrs. Aiden Christine Winford, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 888-291-4357 | |
Krystin Ahlstrand, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 | |
Jason Vinson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 | |
Elizabeth Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 Fax: 615-463-6202 | |
Maria Irizarry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 | |
Sonyvette Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Cheatham St, Springfield, TN 37172 Phone: 615-463-6200 Fax: 615-463-6202 |