| Spectrum Counseling & Wellness | |
|
1214 Katie Cv Hernando MS 38632-8050 | |
| (662) 469-6432 | |
| Not Available |
| Full Name | Spectrum Counseling & Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 1214 Katie Cv, Hernando, Mississippi |
| Authorized Official Name and Position | Julie Holcomb (LCSW) |
| Authorized Official Contact | 6624696432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Counseling & Wellness 1214 Katie Cv Hernando MS 38632-8050 Ph: (662) 469-6432 | Spectrum Counseling & Wellness 1214 Katie Cv Hernando MS 38632-8050 Ph: (662) 469-6432 |
| NPI Number | 1487581120 |
|---|---|
| Provider Enumeration Date | 05/06/2026 |
| Last Update Date | 05/06/2026 |
| Certification Date | 05/06/2026 |
| Medicare PECOS PAC ID | 9335610161 |
|---|---|
| Medicare Enrollment ID | O20260603000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487581120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Julie Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710604285 PECOS PAC ID: 5294190955 Enrollment ID: I20230502001443 |
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