| Phyllis Jonita Kelly, PCMHT | |
|
1019 Carroll Dr, Hazlehurst, MS 39083-2036 | |
| (601) 894-2018 | |
| Not Available |
| Full Name | Phyllis Jonita Kelly |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1019 Carroll Dr, Hazlehurst, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255918405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Jonita Kelly, PCMHT 700 Tatum Dr, Florence, MS 39073-6601 Ph: (601) 874-1692 | Phyllis Jonita Kelly, PCMHT 1019 Carroll Dr, Hazlehurst, MS 39083-2036 Ph: (601) 894-2018 |
Marcus Jermaine Stephens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 Carroll Dr, Hazlehurst, MS 39083 Phone: 601-894-2018 Fax: 601-894-1748 | |
Regina Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 Carroll Dr, Hazlehurst, MS 39083 Phone: 601-894-2018 Fax: 601-894-1748 | |
Mr. Timothy Aaron Stanley, LCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 Carroll Dr, Hazlehurst, MS 39083 Phone: 601-894-2018 | |
Remonica Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 Carroll Dr, Hazlehurst, MS 39083 Phone: 601-894-2018 | |
Amanda Courtney, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Carroll Dr, Hazlehurst, MS 39083 Phone: 601-894-2018 | |
Keyera Holmes, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 Carroll Dr, Hazlehurst, MS 39083 Phone: 601-894-2018 |