Heal Thy Self Counseling Services, Llc | |
4500 I 55 N Ste 220 Jackson MS 39211-5931 | |
(601) 521-0213 | |
Not Available |
Full Name | Heal Thy Self Counseling Services, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 4500 I 55 N Ste 220, Jackson, Mississippi |
Authorized Official Name and Position | Dorothy S Smith (DIRECTOR OF CLINICAL SERVICES) |
Authorized Official Contact | 6015210213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Heal Thy Self Counseling Services, Llc 1005 Elms Cv Ridgeland MS 39157-1046 Ph: (601) 521-0213 | Heal Thy Self Counseling Services, Llc 4500 I 55 N Ste 220 Jackson MS 39211-5931 Ph: (601) 521-0213 |
NPI Number | 1225626286 |
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Provider Enumeration Date | 01/05/2021 |
Last Update Date | 01/05/2021 |
Certification Date | 01/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225626286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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