| Heale Counseling, Llc | |
|
302 S Spring St Tupelo MS 38804-4853 | |
| (662) 205-0098 | |
| Not Available |
| Full Name | Heale Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 S Spring St, Tupelo, Mississippi |
| Authorized Official Name and Position | Lena Clardy (CEO) |
| Authorized Official Contact | 6626604186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heale Counseling, Llc Po Box 68 Tupelo MS 38802-0068 Ph: (662) 660-4186 | Heale Counseling, Llc 302 S Spring St Tupelo MS 38804-4853 Ph: (662) 205-0098 |
| NPI Number | 1093410243 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Medicare PECOS PAC ID | 7416316880 |
|---|---|
| Medicare Enrollment ID | O20230703000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093410243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cheryl K Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487693024 PECOS PAC ID: 2860595568 Enrollment ID: I20070319000314 |
| Provider Name | Susan Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750048997 PECOS PAC ID: 5597145086 Enrollment ID: I20220629003725 |
| Provider Name | Debra Wuichet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962012468 PECOS PAC ID: 8325408479 Enrollment ID: I20230720002147 |
| Provider Name | Shelley Y Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689786667 PECOS PAC ID: 4082623046 Enrollment ID: I20231016003726 |
| Provider Name | Thomas C Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316318553 PECOS PAC ID: 9234582065 Enrollment ID: I20240129002527 |
| Provider Name | Ricardo Fraga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710281407 PECOS PAC ID: 0648557249 Enrollment ID: I20240129002713 |
| Provider Name | Kristen Lindsey Cauley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174137673 PECOS PAC ID: 9032562707 Enrollment ID: I20240130000062 |
| Provider Name | Emily M Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649041351 PECOS PAC ID: 0143666180 Enrollment ID: I20240312003330 |
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