| Megan Elise Ethredge, LPC/MHSP | |
|
367b N Parkway Ste 1, Jackson, TN 38305-2899 | |
| (731) 668-2277 | |
| Not Available |
| Full Name | Megan Elise Ethredge |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 367b N Parkway Ste 1, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669128237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5734 (Tennessee) | Primary |
| Entity Name | Mckenzie Medical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Elise Ethredge, LPC/MHSP 48 Springfield Cv, Jackson, TN 38305-9779 Ph: () - | Megan Elise Ethredge, LPC/MHSP 367b N Parkway Ste 1, Jackson, TN 38305-2899 Ph: (731) 668-2277 |
Tony Hatley, LPC/MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Lamar Cir, Jackson, TN 38305 Phone: 731-220-2919 | |
Doris Kay Black, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Murray Guard Dr, Jackson, TN 38305 Phone: 731-736-4400 | |
Mrs. Robyn Elizabeth Mcdaniel, LPC/MHSP (TEMP), NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Carriage House Dr Ste C, Jackson, TN 38305 Phone: 731-868-7297 | |
Sarah Holny, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Ellis Dr, Jackson, TN 38301 Phone: 731-225-7869 | |
Sonya Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Weatherford Sq, Jackson, TN 38305 Phone: 731-660-6760 Fax: 731-661-9152 | |
Mrs. Linda Sue Hottenstein, M.ED,LPC/MHSP,RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 386 Carriage House Dr Ste A, Jackson, TN 38305 Phone: 731-664-0043 Fax: 731-664-0172 | |
Dr. Samuel Lee Carney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Executive Dr, Jackson, TN 38305 Phone: 731-426-1820 Fax: 731-426-0675 |