| Lefleur Behavioral Health, Pllc | |
|
1000 Highland Colony Pkwy Bldg 5000 Ridgeland MS 39157-2073 | |
| (601) 809-5324 | |
| Not Available |
| Full Name | Lefleur Behavioral Health, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1000 Highland Colony Pkwy Bldg 5000, Ridgeland, Mississippi |
| Authorized Official Name and Position | Walter Thomas Rueff (CLINICAL PSYCHOLOGIST & OWNER) |
| Authorized Official Contact | 6012785711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lefleur Behavioral Health, Pllc 2332 Southwood Rd Jackson MS 39211-6212 Ph: (601) 278-5711 | Lefleur Behavioral Health, Pllc 1000 Highland Colony Pkwy Bldg 5000 Ridgeland MS 39157-2073 Ph: (601) 809-5324 |
| NPI Number | 1942803010 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942803010 | NPI | - | NPPES |
| 59-031 | Other | MS | MISSISSIPPI PSYCHOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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