| Mrs Pamela Graef Luckett, | |
| 
					109 Cedar Pine Ln, Madison, MS 39110-8868  | |
| (601) 214-8160 | |
| (601) 856-6356 | 
| Full Name | Mrs Pamela Graef Luckett | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 109 Cedar Pine Ln, Madison, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104418649 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0588 (Mississippi) | Primary | 
| Entity Name | Talkspace Provider Network Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20241107000093  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Pamela Graef Luckett, 109 Cedar Pine Ln, Madison, MS 39110-8868 Ph: (601) 214-8160  | Mrs Pamela Graef Luckett, 109 Cedar Pine Ln, Madison, MS 39110-8868 Ph: (601) 214-8160  | 
Kendyl Hensley, BA, MDIV Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 Ebenezer Blvd, Madison, MS 39110 Phone: 601-790-0583  | |
Mrs. Clara Newton, MS, PLPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Cobblestone Ct Ste A, Madison, MS 39110 Phone: 601-540-7422  | |
Porschia Mcdonald Cole,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Inwood Pl, Madison, MS 39110 Phone: 769-666-1958  | |
Breda Faye Hall, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 Highland Colony Pkwy, Madison, MS 39110 Phone: 601-506-1459  | |
Dr. Gregory Obert, PH.D., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7570 Old Canton Rd Ste 102, Madison, MS 39110 Phone: 601-809-5324  | |
Katherine Johnson, PLPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 Key Dr Ste C, Madison, MS 39110 Phone: 601-760-2050  |