| Miraculas Clemons, | |
|
102 Brickerton St, Columbus, MS 39701-3608 | |
| (662) 570-1109 | |
| Not Available |
| Full Name | Miraculas Clemons |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 102 Brickerton St, Columbus, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255197927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P-0867 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dutch Medical Clinics, Inc | 9234376088 | 28 |
| Entity Name | Dutch Medical Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064 |
| Entity Name | Starkville Wellness Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437763240 PECOS PAC ID: 3072982545 Enrollment ID: O20230127001982 |
| Mailing Address | Practice Location Address |
|---|---|
| Miraculas Clemons, 102 Brickerton St, Columbus, MS 39701-3608 Ph: (662) 570-1109 | Miraculas Clemons, 102 Brickerton St, Columbus, MS 39701-3608 Ph: (662) 570-1109 |
Jacquelynn P Miskel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Bluecutt Rd Ste 201, Columbus, MS 39705 Phone: 662-434-4210 |
John Mcmahon, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Columbus, MS 39701 Phone: 662-328-9225 Fax: 662-328-4735 |
Quintara A Reese, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2623 5th St N, Columbus, MS 39705 Phone: 662-241-7091 |
Yasmeen Duarte, Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 18th Ave N, Columbus, MS 39701 Phone: 662-368-2008 |
Shanta Newby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 24th Ave N, Columbus, MS 39705 Phone: 662-241-7097 |
Akedra Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2623 5th St N, Columbus, MS 39705 Phone: 662-241-7097 |
Emily Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Main St, Columbus, MS 39701 Phone: 662-327-7916 |