| Kayla Ashlee Mckissick, MA | |
|
455 W Sullivan St Apt 220, Kingsport, TN 37660-3670 | |
| (931) 265-2468 | |
| Not Available |
| Full Name | Kayla Ashlee Mckissick |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 455 W Sullivan St Apt 220, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942622550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 007734 (New York) | Secondary |
| 101Y00000X | Counselor | 4352 (Tennessee) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221116002565 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Ashlee Mckissick, MA 1106 W Sullivan St, Kingsport, TN 37660-3133 Ph: (931) 265-2468 | Kayla Ashlee Mckissick, MA 455 W Sullivan St Apt 220, Kingsport, TN 37660-3670 Ph: (931) 265-2468 |
Andrea Nicole Mccloud, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 423-408-2601 | |
Ms. Kristy Mae Tipton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-224-1375 | |
Debra Lavery Sensibaugh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 | |
Joshua Paul Ledford, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023 | |
Harold B Leonard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237 | |
Rebecca Leigh Waldenstrom, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023 | |
Kelly J Medlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 E Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-467-3644 |