| Kristin Rose Whitten, | |
|
210 E Main St Ste 2c, Tupelo, MS 38804-4017 | |
| (662) 760-0052 | |
| Not Available |
| Full Name | Kristin Rose Whitten |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 210 E Main St Ste 2c, Tupelo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518687193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | P-0694 (Mississippi) | Primary |
| Entity Name | Heale Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093410243 PECOS PAC ID: 7416316880 Enrollment ID: O20230703000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Rose Whitten, Po Box 923, Fulton, MS 38843-0923 Ph: (662) 372-1293 | Kristin Rose Whitten, 210 E Main St Ste 2c, Tupelo, MS 38804-4017 Ph: (662) 760-0052 |
Tiffany Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 Fax: 662-680-6416 | |
Alyssa Bridges, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Caitlyn Capps, M.S.,NCC,LPC/MHSP-T Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 2792, Tupelo, MS 38803 Phone: 731-472-0395 | |
Centrell Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Kayla Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-810-4125 | |
Keyaira Standifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 | |
Mrs. Dorothy Elder Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: Region Iii Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804 Phone: 662-844-1717 Fax: 662-680-6416 |