| Compassionate Hearts | |
|
1828 Raymond Rd Suite A Jackson MS 39204-4126 | |
| (769) 233-8585 | |
| (877) 907-6577 |
| Full Name | Compassionate Hearts |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1828 Raymond Rd, Jackson, Mississippi |
| Authorized Official Name and Position | Kira Johnson (CLINICAL SERVICE DIRECTOR) |
| Authorized Official Contact | 7692338585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Hearts 1828 Raymond Rd Suite A Jackson MS 39204-4126 Ph: (769) 233-8585 | Compassionate Hearts 1828 Raymond Rd Suite A Jackson MS 39204-4126 Ph: (769) 233-8585 |
| NPI Number | 1386991230 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386991230 | NPI | - | NPPES |
| 06202806 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C6696 (Mississippi) | Primary |
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