| Enhanced Destiny Services | |
|
406 Rayburn Rd Carriere MS 39426-8381 | |
| (601) 590-6526 | |
| Not Available |
| Full Name | Enhanced Destiny Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 406 Rayburn Rd, Carriere, Mississippi |
| Authorized Official Name and Position | Lisa Ellis (HUMAN RESOURCES) |
| Authorized Official Contact | 5043736877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhanced Destiny Services 406 Rayburn Rd Carriere MS 39426-8381 Ph: () - | Enhanced Destiny Services 406 Rayburn Rd Carriere MS 39426-8381 Ph: (601) 590-6526 |
| NPI Number | 1578097069 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578097069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
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