| Miss Amanda Megan Young Nibber, LPCC | |
|
10710 Old Highway 64, Bolivar, TN 38008-3587 | |
| (731) 658-6113 | |
| (731) 658-1597 |
| Full Name | Miss Amanda Megan Young Nibber |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 10710 Old Highway 64, Bolivar, Tennessee |
| 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 |
|---|---|---|---|
| 1508142977 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Centers And Clinics Of Tennessee | 3678475621 | 12 |
| Entity Name | Mental Health Centers & Clinics Of Tennessee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255442794 PECOS PAC ID: 3678475621 Enrollment ID: O20040121001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Amanda Megan Young Nibber, LPCC 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 658-6113 | Miss Amanda Megan Young Nibber, LPCC 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 658-6113 |
Marvin Gary Gill, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Harlis Reese, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Michelle Guia, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Mr. Broderick Webster Sr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Tennessee St, Bolivar, TN 38008 Phone: 731-228-9068 Fax: 901-425-9773 | |
Lafonda Boyd, BLS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Edward Daniel Hamer, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-1597 | |
Jacob Isaac Latham, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 |