| Codi Labrina Wallace, LPC | |
|
100 Starr Ave, Suite K, Starkville, MS 39759 | |
| (972) 898-2394 | |
| Not Available |
| Full Name | Codi Labrina Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 100 Starr Ave, Starkville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992384432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2441 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Codi Labrina Wallace, LPC 7863 Seer Creek Road, Starkville, MS 39759 Ph: (972) 898-2394 | Codi Labrina Wallace, LPC 100 Starr Ave, Suite K, Starkville, MS 39759 Ph: (972) 898-2394 |
Dustin Adams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-324-9647 | |
Melissa Madden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-323-9380 | |
Courtney Welch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-3918 | |
Carolyn Diamond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Starr Ave Ste A, Starkville, MS 39759 Phone: 662-268-8059 | |
Loretta Fields, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 N Jackson St, Starkville, MS 39759 Phone: 662-323-9261 Fax: 662-323-9380 | |
Alicia Vickers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Starr Ave Ste K, Starkville, MS 39759 Phone: 662-340-5947 | |
Kaitlyn Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Stark Rd # Suietf, Starkville, MS 39759 Phone: 662-601-4011 |