| Jennifer Brooke Gregory-lyles, LCMHC | |
|
1925 N Bridge St Ste 101, Elkin, NC 28621-2105 | |
| (368) 357-3373 | |
| (336) 835-7301 |
| Full Name | Jennifer Brooke Gregory-lyles |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1925 N Bridge St Ste 101, Elkin, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164756045 | NPI | - | NPPES |
| 1164756045 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7499 (North Carolina) | Primary |
| 101YP2500X | Counselor - Professional | 7499 (North Carolina) | Secondary |
| Entity Name | High Country Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336606938 PECOS PAC ID: 8628225190 Enrollment ID: O20200106001184 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Brooke Gregory-lyles, LCMHC Po Box 1490, Boone, NC 28607-1490 Ph: (828) 262-3886 | Jennifer Brooke Gregory-lyles, LCMHC 1925 N Bridge St Ste 101, Elkin, NC 28621-2105 Ph: (368) 357-3373 |
Suzanne Janean Hillin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Hawthorne Rd, Elkin, NC 28621 Phone: 336-838-1644 Fax: 336-667-7720 | |
Mrs. Ginger Isenhoward, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Samaritans Ridge Ct, Elkin, NC 28621 Phone: 336-818-0733 | |
Joseph Warren Bretz Iv, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Hawthorne Rd, Elkin, NC 28621 Phone: 336-838-1644 Fax: 336-667-7720 | |
Cheryl Wolfe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 Samaritan Ridge Road, Elkin, NC 28621 Phone: 336-526-8335 | |
Carl Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 W Main St, Elkin, NC 28621 Phone: 336-526-8335 | |
Christine Booher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Westover Dr, Elkin, NC 28621 Phone: 336-835-3403 |