| Kimila Deflanders Lcsw Llc | |
|
1390 29th Ave Ste B Gulfport MS 39501-1945 | |
| (601) 557-2185 | |
| (228) 220-4303 |
| Full Name | Kimila Deflanders Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1390 29th Ave Ste B, Gulfport, Mississippi |
| Authorized Official Name and Position | Kimila Deflanders (OWNER/THERAPIST) |
| Authorized Official Contact | 6015572185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimila Deflanders Lcsw Llc Po Box 8024 Biloxi MS 39535-8024 Ph: (601) 557-2185 | Kimila Deflanders Lcsw Llc 1390 29th Ave Ste B Gulfport MS 39501-1945 Ph: (601) 557-2185 |
| NPI Number | 1588217699 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Medicare PECOS PAC ID | 4880920230 |
|---|---|
| Medicare Enrollment ID | O20190724000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588217699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimila R Deflanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194767889 PECOS PAC ID: 8820324288 Enrollment ID: I20190813000378 |
Gulfport Behavioral Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11150 Highway 49 Ste B, Gulfport, MS 39503 Phone: 228-867-5202 | |
New Hope Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3610 12th Ave, Gulfport, MS 39501 Phone: 910-229-1473 | |
Refined Therapy Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1403 43rd Ave Ste D, Gulfport, MS 39501 Phone: 601-215-5545 | |
Laura A Brodie Phd Clinical & Forensic Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1822 15th St, Gulfport, MS 39501 Phone: 228-678-1042 | |
Gulf Coast Neurospa Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8845 Lorraine Road, Gulfport, MS 39503 Phone: 228-277-1771 Fax: 866-740-0655 | |
Diane E Ross Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2160 E Pass Road, Suite D, Gulfport, MS 39507 Phone: 228-896-3317 Fax: 228-896-3314 | |
Catholic Charities Of South Mississippi Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1450 North St, Gulfport, MS 39507 Phone: 228-219-5995 |