Tabithia Spring Gatlin, | |
1522 Morgan St, Keokuk, IA 52632-4028 | |
(319) 524-0510 | |
Not Available |
Full Name | Tabithia Spring Gatlin |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1522 Morgan St, Keokuk, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922665157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Community Health Centers Of Southeastern Iowa Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255339750 PECOS PAC ID: 4486562527 Enrollment ID: O20040219000446 |
Mailing Address | Practice Location Address |
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Tabithia Spring Gatlin, 1522 Morgan St, Keokuk, IA 52632-4028 Ph: (319) 524-0510 | Tabithia Spring Gatlin, 1522 Morgan St, Keokuk, IA 52632-4028 Ph: (319) 524-0510 |
Mrs. Jennifer R Dougherty, M.A., L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1522 Morgan St, Keokuk, IA 52632 Phone: 319-524-0510 Fax: 319-524-0609 | |
Ms. Kristine M Casey, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1522 Morgan St, Keokuk, IA 52632 Phone: 319-524-0510 Fax: 319-524-0609 | |
Kristin Kay Suminski, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Morgan St Ste 4, Keokuk, IA 52632 Phone: 319-249-5777 | |
Mr. Mic Hael J. Maher, MS, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1522 Morgan St, Keokuk, IA 52632 Phone: 319-524-0510 Fax: 319-524-0609 | |
Mrs. Amy Christine Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Morgan St Ste 4, Keokuk, IA 52632 Phone: 319-249-5777 | |
Keith Keller, L.M.S.W Counselor Medicare: Not Enrolled in Medicare Practice Location: 928 Main St, Keokuk, IA 52632 Phone: 319-524-4397 | |
Tiffanie M West-bennett, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 928 Main St, Keokuk, IA 52632 Phone: 319-524-4397 |