Catholic Charities Of South Mississippi | |
1450 North St Gulfport MS 39507-2103 | |
(228) 219-5995 | |
Not Available |
Full Name | Catholic Charities Of South Mississippi |
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Speciality | Social Worker |
Location | 1450 North St, Gulfport, Mississippi |
Authorized Official Name and Position | Michelle Eleuterius (SOCIAL WORKER) |
Authorized Official Contact | 2282195995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catholic Charities Of South Mississippi 1450 North St Gulfport MS 39507-2103 Ph: () - | Catholic Charities Of South Mississippi 1450 North St Gulfport MS 39507-2103 Ph: (228) 219-5995 |
NPI Number | 1033844592 |
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Provider Enumeration Date | 07/19/2022 |
Last Update Date | 08/25/2022 |
Certification Date | 08/25/2022 |
Medicare PECOS PAC ID | 5890177885 |
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Medicare Enrollment ID | O20220808002979 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033844592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Michelle Marie Eleuterius |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497969315 PECOS PAC ID: 1355725862 Enrollment ID: I20220901002034 |
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