| Kidzplay Community | |
|
1010 Monroe St Vicksburg MS 39183-2552 | |
| (910) 853-2184 | |
| Not Available |
| Full Name | Kidzplay Community |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1010 Monroe St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Latasha Bethea (OWNER) |
| Authorized Official Contact | 9108532184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidzplay Community 1010 Monroe St Vicksburg MS 39183-2552 Ph: (910) 853-2184 | Kidzplay Community 1010 Monroe St Vicksburg MS 39183-2552 Ph: (910) 853-2184 |
| NPI Number | 1629578729 |
|---|---|
| Provider Enumeration Date | 02/15/2018 |
| Last Update Date | 02/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629578729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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