Bruno Counseling And Consulting Services, Llc | |
110 W Erlanger St Poplarville MS 39470-3009 | |
(601) 746-5125 | |
(844) 348-9002 |
Full Name | Bruno Counseling And Consulting Services, Llc |
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Speciality | Social Worker |
Location | 110 W Erlanger St, Poplarville, Mississippi |
Authorized Official Name and Position | Darryl Wayne Bruno (OWNER) |
Authorized Official Contact | 6017465125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bruno Counseling And Consulting Services, Llc 110 W Erlanger St Poplarville MS 39470-3009 Ph: (601) 746-5125 | Bruno Counseling And Consulting Services, Llc 110 W Erlanger St Poplarville MS 39470-3009 Ph: (601) 746-5125 |
NPI Number | 1922492321 |
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Provider Enumeration Date | 03/24/2015 |
Last Update Date | 03/24/2015 |
Medicare PECOS PAC ID | 0749500767 |
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Medicare Enrollment ID | O20150514001934 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922492321 | NPI | - | NPPES |
05239528 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C8179 (Mississippi) | Primary |
Provider Name | Darryl Wayne Bruno |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710072178 PECOS PAC ID: 4486974409 Enrollment ID: I20150514001925 |
Provider Name | Torey P Lamothe |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245663343 PECOS PAC ID: 2365894797 Enrollment ID: I20240122000581 |
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