Taquila Smith, | |
2504 Browning Road 520, Greenwood, MS 38930-6022 | |
(662) 453-6211 | |
Not Available |
Full Name | Taquila Smith |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2504 Browning Road 520, Greenwood, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689038754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Step Up Care Of Tennessee Llc |
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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 |
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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 | |
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 | |
Renita Ann Kyles, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Browning Road Ext # 520, Greenwood, MS 38930 Phone: 662-453-6211 |