| Herman Island, | |
|
1017 Abbay St Apt C2, Tunica, MS 38676-9324 | |
| (662) 613-9199 | |
| Not Available |
| Full Name | Herman Island |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1017 Abbay St Apt C2, Tunica, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700701547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Herman Island, 1017 Abbay St Apt C2, Tunica, MS 38676-9324 Ph: (662) 613-9199 | Herman Island, 1017 Abbay St Apt C2, Tunica, MS 38676-9324 Ph: (662) 613-9199 |
Mrs. Kyle Kimbriel Still, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1459 Main St, Tunica, MS 38676 Phone: 662-636-3222 |
Mr. Phillip Parker, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1459 Main St., Tunica, MS 38676 Phone: 662-363-5999 Fax: 662-627-5240 |
Crystal Gholston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1459 Main St, Tunica, MS 38676 Phone: 662-363-3222 Fax: 662-363-4749 |
Mrs. Yaminoh Childress-dunbar, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1459 Main St, Tunica, MS 38676 Phone: 662-627-7267 Fax: 662-627-5240 |