| Community Wellness And Rehab, Llc | |
|
25911 Sandy Creek Ct Gulfport MS 39503-7014 | |
| (337) 853-2292 | |
| Not Available |
| Full Name | Community Wellness And Rehab, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25911 Sandy Creek Ct, Gulfport, Mississippi |
| Authorized Official Name and Position | Terrance Joseph Skidmore (DIRECTOR, LCSW) |
| Authorized Official Contact | 3378532292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Wellness And Rehab, Llc 25911 Sandy Creek Ct Gulfport MS 39503-7014 Ph: (337) 853-2292 | Community Wellness And Rehab, Llc 25911 Sandy Creek Ct Gulfport MS 39503-7014 Ph: (337) 853-2292 |
| NPI Number | 1093522864 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093522864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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