| Bonnie Kathryn Spicer, LPC | |
|
165 Bellmeade Drive, Jackson, TN 38301-2202 | |
| (731) 803-1447 | |
| Not Available |
| Full Name | Bonnie Kathryn Spicer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 165 Bellmeade Drive, 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 |
|---|---|---|---|
| 1992292981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5957 (Tennessee) | Secondary |
| 101YP2500X | Counselor - Professional | 5957 (NU) | Primary |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Kathryn Spicer, LPC 165 Bellmeade Dr, Jackson, TN 38301-7854 Ph: Not Available | Bonnie Kathryn Spicer, LPC 165 Bellmeade Drive, Jackson, TN 38301-2202 Ph: (731) 803-1447 |
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 |