| Ms Jessica Elaine Wilson, MA | |
|
2409 Homer Clayton Drive, Guntersville, AL 35976-2207 | |
| (256) 582-4240 | |
| (256) 582-4161 |
| Full Name | Ms Jessica Elaine Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2409 Homer Clayton Drive, Guntersville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699131649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Thrive Trauma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073050290 PECOS PAC ID: 7416391818 Enrollment ID: O20240213004016 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jessica Elaine Wilson, MA 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 Ph: (256) 582-4240 | Ms Jessica Elaine Wilson, MA 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 Ph: (256) 582-4240 |
Carol Reid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-4240 Fax: 256-582-4161 | |
Mrs. Jaime Dee Hayduk, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Drive, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Jan Lasseter, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1612 Railroad Avenue, Guntersville, AL 35976 Phone: 256-582-8880 Fax: 256-582-8890 | |
Joyce H Flannery, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Miss Serah Elizabeth Blackwell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Selah Rhoden, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Mr. Christopher H Goodgame, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Drive, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 |