| Jessica Huddleston, CPA; LCP | |
|
695 President Pl Ste 202, Smyrna, TN 37167-5681 | |
| (615) 269-4990 | |
| (615) 953-9862 |
| Full Name | Jessica Huddleston |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 695 President Pl Ste 202, Smyrna, Tennessee |
| 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 |
|---|---|---|---|
| 1396136164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CPA29 (Tennessee) | Secondary |
| 101YP2500X | Counselor - Professional | TLPC3524 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sabin Behavioral Health | 7517121817 | 5 |
| Entity Name | Sabin Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619160090 PECOS PAC ID: 7517121817 Enrollment ID: O20120618000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Huddleston, CPA; LCP 695 President Pl Ste 202, Smyrna, TN 37167-5681 Ph: (615) 269-4990 | Jessica Huddleston, CPA; LCP 695 President Pl Ste 202, Smyrna, TN 37167-5681 Ph: (615) 269-4990 |
Kylie Mcmahan, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Stonecrest Pkwy Ste 102, Smyrna, TN 37167 Phone: 615-247-6831 | |
Kerissa J Frazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Mayfield Dr, Smyrna, TN 37167 Phone: 816-287-2088 | |
Dr. Michelle Camile Stevens, PH.D., LPC- MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 Nissan Dr Ste 200, Smyrna, TN 37167 Phone: 615-956-8347 | |
Taylor Ruth Bruffey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Stonecrest Pkwy Ste 102, Smyrna, TN 37167 Phone: 615-247-6831 | |
Shirley Marks, LADAC, LMFT, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 Nissan Dr Ste 202, Smyrna, TN 37167 Phone: 615-462-7392 Fax: 615-267-0020 | |
Wendy Bryant Foster, L.C.S.W. Counselor Medicare: Medicare Enrolled Practice Location: 695 President Pl, Ste 202, Smyrna, TN 37167 Phone: 615-269-4990 Fax: 615-953-9862 | |
Nicole Bernice Reeves, Counselor Medicare: Medicare Enrolled Practice Location: 301 Wolverine Trl Ste 200, Smyrna, TN 37167 Phone: 615-751-0579 |