| Jeanie Woolledge, PHD | |
|
116 E Canal St, Picayune, MS 39466-4500 | |
| (504) 628-4882 | |
| Not Available |
| Full Name | Jeanie Woolledge |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 116 E Canal St, Picayune, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922404912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 3235 (Mississippi) | Primary |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanie Woolledge, PHD 32 Patrice Rd, Picayune, MS 39466-8159 Ph: (504) 628-4882 | Jeanie Woolledge, PHD 116 E Canal St, Picayune, MS 39466-4500 Ph: (504) 628-4882 |
Hollie Krohn Mccollister, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 W Canal St, Picayune, MS 39466 Phone: 228-326-3036 | |
Mrs. Lisa A Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Street A Ste C, Picayune, MS 39466 Phone: 601-569-5311 | |
Miss Raquel Nichole Carroll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2007 Wildwood Rd, Picayune, MS 39466 Phone: 769-926-2657 | |
Tracey Michelle Mark-boston, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 W Canal St, Picayune, MS 39466 Phone: 601-749-9477 | |
Kashunta Lasheri Merritt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2007 Wildwood Rd, Picayune, MS 39466 Phone: 769-926-2657 | |
Darlene Seals, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2007 Wildwood Dr, Picayune, MS 39466 Phone: 769-926-2657 Fax: 769-926-2658 | |
Mark Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Highway 11 S, Picayune, MS 39466 Phone: 601-798-7001 Fax: 601-799-4481 |