| Ks Hudgins Professional Counseling And Consulting Group, Llc | |
|
218 5th St S Ste 3 Columbus MS 39701-5730 | |
| (662) 368-8853 | |
| (877) 920-2150 |
| Full Name | Ks Hudgins Professional Counseling And Consulting Group, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 218 5th St S Ste 3, Columbus, Mississippi |
| Authorized Official Name and Position | Kimberly Shelton-hudgins (OWNER AND LEAD THERAPIST) |
| Authorized Official Contact | 6624254879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ks Hudgins Professional Counseling And Consulting Group, Llc Po Box 8830 Columbus MS 39705-0014 Ph: (662) 425-4879 | Ks Hudgins Professional Counseling And Consulting Group, Llc 218 5th St S Ste 3 Columbus MS 39701-5730 Ph: (662) 368-8853 |
| NPI Number | 1780314153 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Medicare PECOS PAC ID | 6709257397 |
|---|---|
| Medicare Enrollment ID | O20230118001252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780314153 | NPI | - | NPPES |
| 08602526 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimberly Shelton-hudgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770761884 PECOS PAC ID: 1951797570 Enrollment ID: I20220407002423 |
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