| Best Outcomes Therapeutic Services, Llc | |
|
787 E Northside Dr Jackson MS 39206-4945 | |
| (504) 813-4968 | |
| Not Available |
| Full Name | Best Outcomes Therapeutic Services, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 787 E Northside Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Kenisha Gordon (CO-OWNER) |
| Authorized Official Contact | 5048134968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Outcomes Therapeutic Services, Llc Po Box 587 Clinton MS 39060-0587 Ph: () - | Best Outcomes Therapeutic Services, Llc 787 E Northside Dr Jackson MS 39206-4945 Ph: (504) 813-4968 |
| NPI Number | 1972164176 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972164176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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