Amanda D Hayes, | |
129 N Locust Ave, Lawrenceburg, TN 38464-3757 | |
(931) 253-1110 | |
Not Available |
Full Name | Amanda D Hayes |
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Gender | Female |
Speciality | Counselor |
Location | 129 N Locust Ave, Lawrenceburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770619074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | P2506017 (Arkansas) | Secondary |
101Y00000X | Counselor | 3289 (Mississippi) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Dyersburg Family Walk-in Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174712780 PECOS PAC ID: 5991793879 Enrollment ID: O20040501000299 |
Entity Name | Christian Family Medicine, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043252620 PECOS PAC ID: 7315903978 Enrollment ID: O20041206000331 |
Mailing Address | Practice Location Address |
---|---|
Amanda D Hayes, 199 Gale Faucett Rd, Trenton, TN 38382-7915 Ph: (615) 627-7660 | Amanda D Hayes, 129 N Locust Ave, Lawrenceburg, TN 38464-3757 Ph: (931) 253-1110 |
Misty Lee Gallimore, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505 | |
Ms. Melanie Linda Davis, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 615-308-3846 | |
Ms. Victoria T. Gattis, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Hillview Dr, Lawrenceburg, TN 38464 Phone: 931-766-8549 Fax: 931-766-8549 | |
Lana Leigh Brown, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505 | |
Brian Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Road, Lawrenceburg, TN 38464 Phone: 256-856-2739 | |
Amy R Farmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Cherry Ave, Lawrenceburg, TN 38464 Phone: 931-242-7483 | |
Mr. Gary Van Bentley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505 Fax: 931-762-3690 |