| Jasmine Chastity Mims, | |
|
24904 Lear Ln, Moreno Valley, CA 92553-5875 | |
| (661) 742-4026 | |
| Not Available |
| Full Name | Jasmine Chastity Mims |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 24904 Lear Ln, Moreno Valley, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205425782 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarity-james Medical Services Corp | 2668886813 | 7 |
| Entity Name | Clarity-james Medical Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972192953 PECOS PAC ID: 2668886813 Enrollment ID: O20210128002631 |
| Entity Name | New Legacy Behavioral Health Professional Clinical Counselor Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336004746 PECOS PAC ID: 5496238073 Enrollment ID: O20260311003889 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Chastity Mims, 24904 Lear Ln, Moreno Valley, CA 92553-5875 Ph: (661) 742-4026 | Jasmine Chastity Mims, 24904 Lear Ln, Moreno Valley, CA 92553-5875 Ph: (661) 742-4026 |
Ranee Taechameena Sahachartsiri, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 23119 Cottonwood Ave Bldg 1, Moreno Valley, CA 92553 Phone: 951-955-2310 |
Dr. Gary Lee Woods, M.A., M.A., J.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12968 Frederick St, Moreno Valley, CA 92553 Phone: 951-242-7738 Fax: 951-242-7733 |
Vicki Kodad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 6, Moreno Valley, CA 92553 Phone: 951-243-5576 |
Monique Leeann Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23311 Dracaea Ave, Moreno Valley, CA 92553 Phone: 951-571-7500 |
Mr. Jose Antonio Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12625 Heacock St, Moreno Valley, CA 92553 Phone: 951-486-7948 |
Savannah Vest, AMFT, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22445 Alessandro Blvd Ste 115-116, Moreno Valley, CA 92553 Phone: 951-924-9791 |
Gail Meyers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St Ste 6, Moreno Valley, CA 92553 Phone: 951-243-5576 |