| Mrs Fulivia Elma Cannady, MSCP,NCC,LPC | |
|
113b Willow Brook Dr, Clinton, MS 39056-5802 | |
| (601) 832-8264 | |
| Not Available |
| Full Name | Mrs Fulivia Elma Cannady |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 113b Willow Brook Dr, Clinton, 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 |
|---|---|---|---|
| 1306085253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 208894 (Mississippi) | Primary |
| 101YP2500X | Counselor - Professional | 1220 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Behavioral Counseling Llc | 1355604836 | 14 |
| Entity Name | Impact Behavioral Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386169050 PECOS PAC ID: 1355604836 Enrollment ID: O20180416000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Fulivia Elma Cannady, MSCP,NCC,LPC 113b Willow Brook Dr, Clinton, MS 39056-5802 Ph: (601) 832-8264 | Mrs Fulivia Elma Cannady, MSCP,NCC,LPC 113b Willow Brook Dr, Clinton, MS 39056-5802 Ph: (601) 832-8264 |
James Pittman, MS,PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W, Clinton, MS 39056 Phone: 601-473-2106 Fax: 601-473-2150 | |
Prof. Brittany Deanna Ducksworth, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 Fax: 601-473-2150 | |
Marisa Finlayson, P-LPC, NCC, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 Fax: 601-473-2150 | |
Tarea Stout, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-664-8683 | |
Mr. Jessie Johnson Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 | |
Stephanie Nicole Owen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 | |
Jessica L Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Indian Mound Rd, Clinton, MS 39056 Phone: 817-807-5010 |