| Counseling For A Cause, Llc | |
|
1893 Cliff Gookin Blvd Ste B Tupelo MS 38801-6558 | |
| (662) 346-4584 | |
| (662) 346-4589 |
| Full Name | Counseling For A Cause, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1893 Cliff Gookin Blvd Ste B, Tupelo, Mississippi |
| Authorized Official Name and Position | Tiffany A Phillips (OWNER/CEO) |
| Authorized Official Contact | 6626870833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling For A Cause, Llc 1893 Cliff Gookin Blvd Tupelo MS 38801-6558 Ph: (662) 687-0833 | Counseling For A Cause, Llc 1893 Cliff Gookin Blvd Ste B Tupelo MS 38801-6558 Ph: (662) 346-4584 |
| NPI Number | 1831627405 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9335411396 |
|---|---|
| Medicare Enrollment ID | O20170825001357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831627405 | NPI | - | NPPES |
| Provider Name | Frankie E Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053625012 PECOS PAC ID: 3577710763 Enrollment ID: I20120822000770 |
| Provider Name | Andrea Paige Pounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275182818 PECOS PAC ID: 1254662802 Enrollment ID: I20191011001082 |
| Provider Name | Lane Elizabeth Mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013146927 PECOS PAC ID: 7517383920 Enrollment ID: I20200817001365 |
| Provider Name | Mahogany Monique Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316257074 PECOS PAC ID: 5991195984 Enrollment ID: I20211207000013 |
| Provider Name | Catherine Frey Baldwyn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538505730 PECOS PAC ID: 2860844263 Enrollment ID: I20240122003069 |
| Provider Name | Curtis Weaver Monts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699432351 PECOS PAC ID: 5294188918 Enrollment ID: I20240130001460 |
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