| Dr Gary Wayne Osborne, LPC, MHSP | |
|
1629 E Main St, Humboldt, TN 38343 | |
| (731) 618-0266 | |
| (731) 824-5398 |
| Full Name | Dr Gary Wayne Osborne |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1629 E Main St, Humboldt, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891880209 | NPI | - | NPPES |
| 3102484 | Other | TN | BCBS |
| 7017081 | Other | AETNA | |
| 229202000 | Other | MAGELLAN HEALTH SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC583 (Tennessee) | Primary |
| Entity Name | Sdg Primary And Immediate Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225437585 PECOS PAC ID: 2264758689 Enrollment ID: O20150303000316 |
| Entity Name | Gary Osborne Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366609943 PECOS PAC ID: 4284078445 Enrollment ID: O20240215004394 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Wayne Osborne, LPC, MHSP 113 Rolling Oaks Dr, Humboldt, TN 38343-8586 Ph: (731) 618-0055 | Dr Gary Wayne Osborne, LPC, MHSP 1629 E Main St, Humboldt, TN 38343 Ph: (731) 618-0266 |
Ms. Tina Louise Witcher Resneck, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Bethel Church Rd, Humboldt, TN 38343 Phone: 731-616-6233 | |
Clarissa Marie Saigeon, LPC MHSP Counselor Medicare: Medicare Enrolled Practice Location: 1309 E Main St, Humboldt, TN 38343 Phone: 731-784-8814 |