| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 Key Dr, Madison, Mississippi |
| Authorized Official Name and Position | Leah Dedeaux Williamson (OWNER) |
| Authorized Official Contact | 6015432852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
112 Winchester Ln Brandon MS 39042-3239 Ph: (601) 543-2852 | 212 Key Dr Madison MS 39110-5011 Ph: (601) 543-2852 |
| NPI Number | 1841966512 |
|---|---|
| Provider Enumeration Date | 08/21/2021 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841966512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Acorn Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Executive Dr, Suite H, Madison, MS 39110 Phone: 769-231-7870 | |
Lifeworks Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Ebenezer Blvd., Madison, MS 39110 Phone: 601-790-0583 | |
Vitality Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 208 Key Dr Ste C, Madison, MS 39110 Phone: 601-760-2050 | |
Top Tier Therapy & Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Remington Cv, Madison, MS 39110 Phone: 601-910-1168 | |
Purpose Of Hearts Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 E Hill Dr, Madison, MS 39110 Phone: 601-331-3085 | |
Holloway Psychiatric Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 742d Magnolia St, Madison, MS 39110 Phone: 601-607-5107 Fax: 601-607-5109 |