| A-z Behavioral Solutions | |
|
120 Scarbrough St Ste A Richland MS 39218-9770 | |
| (615) 219-0090 | |
| Not Available |
| Full Name | A-z Behavioral Solutions |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 120 Scarbrough St, Richland, Mississippi |
| Authorized Official Name and Position | Gary Roberson (MANAGING MEMBER) |
| Authorized Official Contact | 6152190090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A-z Behavioral Solutions 120 Scarbrough St Ste A Richland MS 39218-9770 Ph: () - | A-z Behavioral Solutions 120 Scarbrough St Ste A Richland MS 39218-9770 Ph: (615) 219-0090 |
| NPI Number | 1669898961 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Medicare PECOS PAC ID | 5991931313 |
|---|---|
| Medicare Enrollment ID | O20140519000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669898961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15474 (Mississippi) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 201885 (Georgia) | Secondary |
| Provider Name | Russell E Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194769257 PECOS PAC ID: 5496640120 Enrollment ID: I20050318000751 |
| Provider Name | Kenyatta Merriweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619228558 PECOS PAC ID: 9638320302 Enrollment ID: I20121107000219 |
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