| Dr Ouida Parks, LPC | |
|
1435 Grand Ave, Yazoo City, MS 39194-2651 | |
| (662) 532-2399 | |
| Not Available |
| Full Name | Dr Ouida Parks |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1435 Grand Ave, Yazoo City, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417131996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Legacy Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093326118 PECOS PAC ID: 7618490707 Enrollment ID: O20250331000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ouida Parks, LPC Po Box 861, Yazoo City, MS 39194-0861 Ph: (662) 532-2399 | Dr Ouida Parks, LPC 1435 Grand Ave, Yazoo City, MS 39194-2651 Ph: (662) 532-2399 |
Carolyn Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2303 Gordon Ave, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-5723 | |
Ms. Michelle Antonette Clay, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 W Willie Morris Pkwy, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-8441 | |
Cynthia Tyner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2303 Gordon Ave, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-5723 | |
Kathryn Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2303 Gordon Ave, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-5723 | |
Ayanna Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 W Willie Morris Pkwy, Yazoo City, MS 39194 Phone: 662-746-7363 | |
Eleanor Latisha Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 W Willie Morris Pkwy, Yazoo City, MS 39194 Phone: 662-746-5712 | |
Maiya Cyan Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 W Willie Morris Pkwy, Yazoo City, MS 39194 Phone: 662-746-5712 |