Jessica Marie Mangano, MED | |
6216 Dayton Blvd Ste D, Hixson, TN 37343-2766 | |
(423) 521-5126 | |
Not Available |
Full Name | Jessica Marie Mangano |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 6216 Dayton Blvd Ste D, Hixson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124868195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7291 (Tennessee) | Primary |
Entity Name | Guiding Star Mental Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518716414 PECOS PAC ID: 1850825720 Enrollment ID: O20241114002167 |
Mailing Address | Practice Location Address |
---|---|
Jessica Marie Mangano, MED 4730 Briarwood Dr, Chattanooga, TN 37416-3114 Ph: (317) 629-7227 | Jessica Marie Mangano, MED 6216 Dayton Blvd Ste D, Hixson, TN 37343-2766 Ph: (423) 521-5126 |
Hannah Fleming, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5555 Hixson Pike Apt 218, Hixson, TN 37343 Phone: 206-231-5069 | |
Sarah J Herndon, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5819 Winding Ln Ste 105, Hixson, TN 37343 Phone: 423-402-0126 Fax: 866-858-7831 | |
Sam Wolfe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5819 Winding Ln Ste 133, Hixson, TN 37343 Phone: 423-933-2575 | |
Zachary Whitener, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5819 Winding Ln Ste 137, Hixson, TN 37343 Phone: 423-933-2575 | |
Josealyn Pontius, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5819 Winding Ln Ste 137, Hixson, TN 37343 Phone: 423-933-2575 | |
Charlotte Bilbrey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8439 Dunnhill Ln, Hixson, TN 37343 Phone: 423-488-3014 |