| Innovative Behaviorals Services, Inc. | |
|
357 Towne Center Blvd Suite # 100 Ridgeland MS 39157-4837 | |
| (601) 952-0894 | |
| (601) 952-0836 |
| Full Name | Innovative Behaviorals Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 357 Towne Center Blvd, Ridgeland, Mississippi |
| Authorized Official Name and Position | Dorothy J Mcgill (COO) |
| Authorized Official Contact | 6019520894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behaviorals Services, Inc. 357 Towne Center Blvd Suite # 100 Ridgeland MS 39157-4837 Ph: (601) 952-0894 | Innovative Behaviorals Services, Inc. 357 Towne Center Blvd Suite # 100 Ridgeland MS 39157-4837 Ph: (601) 952-0894 |
| NPI Number | 1578578092 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 05/06/2013 |
| Medicare PECOS PAC ID | 7517969850 |
|---|---|
| Medicare Enrollment ID | O20070215000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578578092 | NPI | - | NPPES |
| 587443922 | Other | MS | BLUE CROSS BLUE SHIELD |
| 09015770 | Medicaid | MS |
| Provider Name | Jessica Fordham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982953402 PECOS PAC ID: 8426295866 Enrollment ID: I20130502000468 |
| Provider Name | Andrea Watts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447359757 PECOS PAC ID: 9739440140 Enrollment ID: I20180228000184 |
| Provider Name | Celevia Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619349909 PECOS PAC ID: 8325377682 Enrollment ID: I20190911002520 |
| Provider Name | David C Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184040800 PECOS PAC ID: 8820395726 Enrollment ID: I20231228000714 |
K D Cathey Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Towne Center Pl, #1300, Ridgeland, MS 39157 Phone: 601-977-9353 | |
G.f. Televet Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157 Phone: 601-476-5600 | |
Leigh Ann Richardson Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 Fontaine Pl Ste 101, Ridgeland, MS 39157 Phone: 601-707-9806 | |
Thyme To Heal Counseling & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Fontaine Pl Ste 104, Ridgeland, MS 39157 Phone: 769-278-2584 | |
Defining Wellness Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Hanover Cir Ste 100, Ridgeland, MS 39157 Phone: 855-761-1582 Fax: 769-241-2605 | |
Killebrew Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 241 Sunnybrook Rd, Ridgeland, MS 39157 Phone: 769-231-9414 | |
Lending A Hand Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Highway 51 Ste C, Ridgeland, MS 39157 Phone: 601-317-5997 Fax: 888-592-0597 |