| Ms Leticia Dione Dearman, LPC | |
|
2117 Broadway Dr, Hattiesburg, MS 39402-3210 | |
| (601) 288-8050 | |
| (601) 288-8058 |
| Full Name | Ms Leticia Dione Dearman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2117 Broadway Dr, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770963134 | NPI | - | NPPES |
| 00018214 | Medicaid | MS | |
| 435201 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 7737 (South Carolina) | Primary |
| Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Leticia Dione Dearman, LPC 2117 Broadway Dr, Hattiesburg, MS 39402-3210 Ph: (601) 288-8050 | Ms Leticia Dione Dearman, LPC 2117 Broadway Dr, Hattiesburg, MS 39402-3210 Ph: (601) 288-8050 |
Frances L Miller, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Blythe B Mccance, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Medical Park Ste B, Hattiesburg, MS 39401 Phone: 601-261-1650 Fax: 601-545-1740 | |
Cari Ann Gaunt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Pine St Ste C, Hattiesburg, MS 39401 Phone: 601-466-9296 | |
Sabrina Nicole Barnes, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Woodstone Plz Ste D, Hattiesburg, MS 39402 Phone: 769-390-7234 | |
Phyllis A Grinstead, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Ms. Amy Ricedorf, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4507 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-545-2925 Fax: 601-545-2926 | |
Jessica Robinett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Pine St, Hattiesburg, MS 39401 Phone: 601-268-8796 |