| Healthcare Advantage Llc | |
|
254 Ingleside Dr Madison MS 39110-9524 | |
| (601) 695-1919 | |
| (601) 420-5299 |
| Full Name | Healthcare Advantage Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 254 Ingleside Dr, Madison, Mississippi |
| Authorized Official Name and Position | Harold Ingram (MANAGER) |
| Authorized Official Contact | 6014200141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Advantage Llc Po Box 1995 Madison MS 39130-1995 Ph: (601) 695-1919 | Healthcare Advantage Llc 254 Ingleside Dr Madison MS 39110-9524 Ph: (601) 695-1919 |
| NPI Number | 1861727034 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861727034 | NPI | - | NPPES |
| 000000000000 | Other | TO BE ASSIGNED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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