| Starkville Counseling Associates, Llc | |
|
205 S Lafayette St Starkville MS 39759-3209 | |
| (662) 323-5588 | |
| (662) 323-5552 |
| Full Name | Starkville Counseling Associates, Llc |
|---|---|
| Speciality | Counselor |
| Location | 205 S Lafayette St, Starkville, Mississippi |
| Authorized Official Name and Position | Leslie P. Fye (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6623235588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starkville Counseling Associates, Llc 205 S Lafayette St Starkville MS 39759-3209 Ph: (662) 323-5588 | Starkville Counseling Associates, Llc 205 S Lafayette St Starkville MS 39759-3209 Ph: (662) 323-5588 |
| NPI Number | 1558529289 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 9537511886 |
|---|---|
| Medicare Enrollment ID | O20240123000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558529289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0745 (Mississippi) | Primary |
| 101YP2500X | Counselor - Professional | 1128 (Mississippi) | Secondary |
| Provider Name | Katie Buys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285058917 PECOS PAC ID: 6800283540 Enrollment ID: I20240123000623 |
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