Dmn Behavioral And Counseling Group Llc | |
7 Lakeland Cir Ste 600 Jackson MS 39216-5025 | |
(601) 955-0187 | |
(769) 572-5593 |
Full Name | Dmn Behavioral And Counseling Group Llc |
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Speciality | Community/Behavioral Health |
Location | 7 Lakeland Cir Ste 600, Jackson, Mississippi |
Authorized Official Name and Position | Timothy Norris (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 6019550187 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dmn Behavioral And Counseling Group Llc 5026 Raintree Dr Jackson MS 39272-5753 Ph: (601) 955-0187 | Dmn Behavioral And Counseling Group Llc 7 Lakeland Cir Ste 600 Jackson MS 39216-5025 Ph: (601) 955-0187 |
NPI Number | 1942812805 |
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Provider Enumeration Date | 08/20/2020 |
Last Update Date | 05/30/2024 |
Certification Date | 05/30/2024 |
Medicare PECOS PAC ID | 2769925155 |
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Medicare Enrollment ID | O20240613001530 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942812805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Timothy A Norris |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154960961 PECOS PAC ID: 3678016060 Enrollment ID: I20240613002064 |
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