| Mr Walter Lee Frazier, MCP, LPC, NCC | |
|
1414 Cherry St, Vicksburg, MS 39180-3218 | |
| (601) 636-5703 | |
| (601) 636-5739 |
| Full Name | Mr Walter Lee Frazier |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 1414 Cherry St, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033168299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0779 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Christian Counseling Center | 0749285070 | 6 |
| Entity Name | Grace Christian Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447295654 PECOS PAC ID: 0749285070 Enrollment ID: O20240130002733 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Walter Lee Frazier, MCP, LPC, NCC 1414 Cherry St, Vicksburg, MS 39180-3218 Ph: (601) 636-5703 | Mr Walter Lee Frazier, MCP, LPC, NCC 1414 Cherry St, Vicksburg, MS 39180-3218 Ph: (601) 636-5703 |
Kaila Virgil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3334 Wisconsin Ave., Vicksburg, MS 39180 Phone: 601-638-0031 | |
Tiffany Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950 | |
Felicia Wilson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950 | |
Heather Potts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 | |
Rosalyn Glascoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 | |
Ann Nelson, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950 |