| Ricardo Fraga, | |
|
135 Anchuka Dr, Saltillo, MS 38866-5789 | |
| (601) 917-0161 | |
| Not Available |
| Full Name | Ricardo Fraga |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 135 Anchuka Dr, Saltillo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710281407 | NPI | - | NPPES |
| 1329 | Other | MS | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1329 (Mississippi) | Primary |
| Entity Name | Heale Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093410243 PECOS PAC ID: 7416316880 Enrollment ID: O20230703000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Fraga, 135 Anchuka Dr, Saltillo, MS 38866-5789 Ph: (601) 917-0161 | Ricardo Fraga, 135 Anchuka Dr, Saltillo, MS 38866-5789 Ph: (601) 917-0161 |
Leotyne Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Major Cir, Saltillo, MS 38866 Phone: 662-322-1535 | |
Dana Tate Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 Tishomingo Trl, Saltillo, MS 38866 Phone: 662-316-5482 | |
Mrs. Carla Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2667 Highway 145, Saltillo, MS 38866 Phone: 662-869-3042 | |
James R Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westwood Cir, Saltillo, MS 38866 Phone: 662-231-4458 | |
Yolanda Ann Mounce, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 159b Willowbrook Dr, Saltillo, MS 38866 Phone: 662-760-5085 | |
Jennifer M Carroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2667 Highway 145, Saltillo, MS 38866 Phone: 662-869-3042 Fax: 662-869-3405 |