| Empowered Behavioral Solutions | |
|
16 Plumer Cir Purvis MS 39475-8700 | |
| (601) 467-3423 | |
| Not Available |
| Full Name | Empowered Behavioral Solutions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16 Plumer Cir, Purvis, Mississippi |
| Authorized Official Name and Position | Laura Lee Moore (PRESIDENT AND CEO) |
| Authorized Official Contact | 6014470411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Behavioral Solutions Po Box 18606 Hattiesburg MS 39404-8606 Ph: (601) 467-3423 | Empowered Behavioral Solutions 16 Plumer Cir Purvis MS 39475-8700 Ph: (601) 467-3423 |
| NPI Number | 1609176742 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609176742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1020969 (Florida) | Primary |
James W. Moore, Iii Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Plumer Cir, Purvis, MS 39475 Phone: 601-818-9375 | |
South Mississippi State Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 Fax: 601-794-0213 | |
Sassafras Hill Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4824 Old Highway 11, Purvis, MS 39475 Phone: 601-264-9515 Fax: 601-271-6026 |