| Anita Charlene Hall Aprn-bc Llc | |
|
8990 Lorraine Rd Gulfport MS 39503-4176 | |
| (228) 331-3310 | |
| (228) 284-1608 |
| Full Name | Anita Charlene Hall Aprn-bc Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8990 Lorraine Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Anita Charlene Hall (OWNER) |
| Authorized Official Contact | 2283313310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Charlene Hall Aprn-bc Llc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 | Anita Charlene Hall Aprn-bc Llc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 |
| NPI Number | 1467950675 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467950675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 702439 (Mississippi) | Primary |
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