| Starkville Wellness Group | |
|
100 Starr Ave #k Starkville MS 39759 | |
| (972) 898-2394 | |
| Not Available |
| Full Name | Starkville Wellness Group |
|---|---|
| Speciality | Counselor |
| Location | 100 Starr Ave #k, Starkville, Mississippi |
| Authorized Official Name and Position | Mary Elizabeth Ketchum (LPC, OWNER) |
| Authorized Official Contact | 6624251051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starkville Wellness Group 100 Starr Ave #k Starkville MS 39759 Ph: (972) 898-2394 | Starkville Wellness Group 100 Starr Ave #k Starkville MS 39759 Ph: (972) 898-2394 |
| NPI Number | 1437763240 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Medicare PECOS PAC ID | 3072982545 |
|---|---|
| Medicare Enrollment ID | O20230127001982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437763240 | NPI | - | NPPES |
| 04678598 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Crystal Nuss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093143984 PECOS PAC ID: 2961726781 Enrollment ID: I20190507002189 |
| Provider Name | Melanie Rogers Tubbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235813833 PECOS PAC ID: 5799132593 Enrollment ID: I20231116001327 |
| Provider Name | Charity Ruth Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497420228 PECOS PAC ID: 4688026537 Enrollment ID: I20240117000728 |
| Provider Name | Mary Elizabeth Ketchum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659867307 PECOS PAC ID: 5395116479 Enrollment ID: I20240118000579 |
| Provider Name | Cynthia Mccrary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366821159 PECOS PAC ID: 9830541507 Enrollment ID: I20240118000650 |
| Provider Name | Caroline J Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710740014 PECOS PAC ID: 3678917580 Enrollment ID: I20240220000470 |
Rice Therapy & Consultation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 N Jackson St Ste C, Starkville, MS 39759 Phone: 662-418-4767 | |
Drumheller Psychological Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Hogan St Ste 2a, Starkville, MS 39759 Phone: 662-324-1764 | |
Soulflower Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Edgewood Dr, Starkville, MS 39759 Phone: 662-769-1647 | |
Gray Matter Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 N Jackson St Ste F, Starkville, MS 39759 Phone: 662-497-2049 | |
Truecolors Counseling, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7863 Self Creek Rd, Starkville, MS 39759 Phone: 662-719-0991 | |
Heart Of Hearing Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 Horseshoe Cir, Starkville, MS 39759 Phone: 662-546-0618 | |
Brainfruit Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Sutherland Cv, Starkville, MS 39759 Phone: 214-906-0727 |