| Behavioral Health And Wellness | |
|
4805 Poplar Springs Dr Suite A Meridian MS 39305-2625 | |
| (601) 693-1234 | |
| Not Available |
| Full Name | Behavioral Health And Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4805 Poplar Springs Dr, Meridian, Mississippi |
| Authorized Official Name and Position | Ricardo Fraga (OWNER) |
| Authorized Official Contact | 6016931234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health And Wellness 4805 Poplar Springs Dr Suite A Meridian MS 39305-2625 Ph: (601) 693-1234 | Behavioral Health And Wellness 4805 Poplar Springs Dr Suite A Meridian MS 39305-2625 Ph: (601) 693-1234 |
| NPI Number | 1487065587 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487065587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MCLPC1329 (Mississippi) | Primary |
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