| Kellie Michelle Ross, LCAS | |
|
439 Ramsey St, Fayetteville, NC 28301-4909 | |
| (919) 787-6131 | |
| Not Available |
| Full Name | Kellie Michelle Ross |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 439 Ramsey St, Fayetteville, 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 |
|---|---|---|---|
| 1417321563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCAS-21914 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-21914 (North Carolina) | Primary |
| Entity Name | Southlight Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932300019 PECOS PAC ID: 6901947613 Enrollment ID: O20100104000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Michelle Ross, LCAS 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 Ph: (919) 787-6131 | Kellie Michelle Ross, LCAS 439 Ramsey St, Fayetteville, NC 28301-4909 Ph: (919) 787-6131 |
Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385 | |
Rivette Cole, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306 Phone: 910-797-6511 Fax: 910-491-1000 | |
Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092 | |
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256 | |
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520 | |
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256 | |
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942 |