|
| |
|
317 E Capitol St Ste 200 Jackson MS 39201-3405 | |
| (703) 256-1600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 317 E Capitol St Ste 200, Jackson, Mississippi |
| Authorized Official Name and Position | Andrew Schneck (COO) |
| Authorized Official Contact | 7032561600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
169 Madison Ave # 11841 New York NY 10016-5101 Ph: (703) 256-1600 | 317 E Capitol St Ste 200 Jackson MS 39201-3405 Ph: (703) 256-1600 |
| NPI Number | 1235811951 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235811951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Gifted Futures Ms Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6040 I-55 North Frontage Rd., Jackson, MS 39211 Phone: 929-466-1305 | |
1st Priority Healthcare Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 River Ridge Dr, Suite 102, Jackson, MS 39216 Phone: 252-315-5165 Fax: 888-376-1118 | |
Marion Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Briarwood Dr Ste 510, Jackson, MS 39206 Phone: 601-956-4816 Fax: 601-956-4816 | |
Ridgewood Clinics Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1059 Ridgewood Clinic, Jackson, MS 39211 Phone: 601-957-3211 Fax: 601-957-9753 | |