| Healthy Life Solutions, Pllc | |
|
219 N Church St Tupelo MS 38804-3815 | |
| (662) 205-4058 | |
| Not Available |
| Full Name | Healthy Life Solutions, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 219 N Church St, Tupelo, Mississippi |
| Authorized Official Name and Position | Amanda Thomas (OWNER) |
| Authorized Official Contact | 6622054058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Life Solutions, Pllc 219 N Church St Tupelo MS 38804-3815 Ph: (662) 205-4058 | Healthy Life Solutions, Pllc 219 N Church St Tupelo MS 38804-3815 Ph: (662) 205-4058 |
| NPI Number | 1639839400 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 4486030814 |
|---|---|
| Medicare Enrollment ID | O20221007001494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639839400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Leslie C Bensieck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407328412 PECOS PAC ID: 2062839715 Enrollment ID: I20200826003737 |
| Provider Name | Amanda Hester Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902031099 PECOS PAC ID: 3577982164 Enrollment ID: I20201001000022 |
| Provider Name | Angela Beth Gillespie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356786164 PECOS PAC ID: 2062856644 Enrollment ID: I20240222001880 |
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