| Byron Dukes, CIDDT | |
|
41 Bonhomie Rd, Hattiesburg, MS 39401-8648 | |
| (601) 450-0431 | |
| Not Available |
| Full Name | Byron Dukes |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 41 Bonhomie Rd, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053834002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 531 (Mississippi) | Primary |
| Entity Name | Region 12 Commission On Mental Health & Retardation Pine Belt Men |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982610572 PECOS PAC ID: 3971561747 Enrollment ID: O20041227000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Dukes, CIDDT Po Box 18679, Hattiesburg, MS 39404-8679 Ph: () - | Byron Dukes, CIDDT 41 Bonhomie Rd, Hattiesburg, MS 39401-8648 Ph: (601) 450-0431 |
Frances L Miller, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Blythe B Mccance, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Medical Park Ste B, Hattiesburg, MS 39401 Phone: 601-261-1650 Fax: 601-545-1740 | |
Cari Ann Gaunt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Pine St Ste C, Hattiesburg, MS 39401 Phone: 601-466-9296 | |
Sabrina Nicole Barnes, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Woodstone Plz Ste D, Hattiesburg, MS 39402 Phone: 769-390-7234 | |
Phyllis A Grinstead, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Ms. Amy Ricedorf, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4507 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-545-2925 Fax: 601-545-2926 | |
Jessica Robinett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Pine St, Hattiesburg, MS 39401 Phone: 601-268-8796 |