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Cynthia Windham Karlson

Psychologist

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as CYNTHIA KARLSON.

Based on the most recent information from CMS, provider Cynthia Windham Karlson is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1841636966
Provider Type
Individual
Full Name
Karlson, Cynthia Windham
Title
Dr.
Credential
PH.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/15/2013
Last Updated
9/7/2016

Contact Information

Practice Location

2500 N State St, Jackson, MS 39216-4500

(601) 984-5855

Unlisted Fax

Mailing Location

2500 N State Street, Jackson, MS 39216-4500

(601) 984-5855

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License 52916 Mississippi

Provider Identifiers

ID	Description	Issuer
ID 01506399	Description Medicaid	Issuer Unlisted Mississippi

Cynthia Windham Karlson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Marion Counseling Services, Pllc

Gratz, Kim L.

Lott, William C

Brown, Mary Evelyn

Bailey, Mary Sheree

Lakeland Drive Counseling, Llc

Gabriele, Jeanne Marisa

Logan, Patricia

Dehon, Erin

Smith, Patrick O