Ms Claudia Lilian Gossett-divine, LPC/MHSP,LADAC - Counselor in Jackson, TN

Ms Claudia Lilian Gossett-divine, LPC/MHSP,LADAC is a Counselor - Mental Health based in Jackson, Tennessee. Ms Claudia Lilian Gossett-divine is licensed to practice in Tennessee (license number 0000001758) and her current practice location is 25 Security Dr, Jackson, Tennessee. She can be reached at her office (for appointments etc.) via phone at (731) 668-1271.

NPI number for Ms Claudia Lilian Gossett-divine is 1366693483 and her current mailing address is 550 Harts Bridge Rd, Jackson, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366693483.

Contact Information

Ms Claudia Lilian Gossett-divine, LPC/MHSP,LADAC
25 Security Dr,
Jackson, TN 38305-3754
(731) 668-1271
(731) 424-4385

Map and Direction


Healthcare Provider's Profile

Full NameMs Claudia Lilian Gossett-divine
GenderFemale
SpecialityCounselor - Mental Health
Location25 Security Dr, Jackson, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366693483
  • Provider Enumeration Date: 10/07/2008
  • Last Update Date: 10/07/2008

Medical Identifiers

Medical identifiers for Ms Claudia Lilian Gossett-divine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366693483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 0000000175 (Tennessee)Secondary
101YM0800XCounselor - Mental Health 0000001758 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Claudia Lilian Gossett-divine is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Claudia Lilian Gossett-divine, LPC/MHSP,LADAC
550 Harts Bridge Rd,
Jackson, TN 38301-9538

Ph: (731) 424-4385
Ms Claudia Lilian Gossett-divine, LPC/MHSP,LADAC
25 Security Dr,
Jackson, TN 38305-3754

Ph: (731) 668-1271

Reviews and Comments


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