| Taquila Smith, | |
|
2504 Browning Road 520, Greenwood, MS 38930-6022 | |
| (662) 453-6211 | |
| Not Available |
| Full Name | Taquila Smith |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 2504 Browning Road 520, Greenwood, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689038754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Step Up Care Of Tennessee Llc | 5395074728 | 12 |
| Entity Name | Step Up Care Of Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023660206 PECOS PAC ID: 5395074728 Enrollment ID: O20190911000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Taquila Smith, 2504 Browning Road 520, Greenwood, MS 38930-6022 Ph: () - | Taquila Smith, 2504 Browning Road 520, Greenwood, MS 38930-6022 Ph: (662) 453-6211 |
Patricia Busby-robinson, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Fulton St, Greenwood, MS 38930 Phone: 662-644-5111 Fax: 662-590-0263 | |
Carla Rhodes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Browning Road 520, Greenwood, MS 38930 Phone: 662-453-6211 Fax: 662-453-2558 | |
Yolanda Cox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 W Park Ave # Q-r, Greenwood, MS 38930 Phone: 662-374-5024 | |
Alexis Reed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Browning Road 520, Greenwood, MS 38930 Phone: 662-299-5353 | |
Kimberly Streeter, MSW, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Browning Road 520, Greenwood, MS 38930 Phone: 662-453-6211 Fax: 662-455-8724 | |
Timesha Dianadria Henson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Browning Road 520, Greenwood, MS 38930 Phone: 662-453-6211 | |
Milton E Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 W Park Ave Ste Q-r, Greenwood, MS 38930 Phone: 662-374-5029 |