Legacy Wellness Services Llc | |
6068 Us Hwy 98 West Hattiesburg MS 39402 | |
(228) 231-0516 | |
Not Available |
Full Name | Legacy Wellness Services Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 6068 Us Hwy 98 West, Hattiesburg, Mississippi |
Authorized Official Name and Position | Nicole Lewis (CLINICAL DIRECTOR) |
Authorized Official Contact | 2282310516 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Legacy Wellness Services Llc 6068 Us Hwy 98 West Ste 1 Box 304 Hattiesburg MS 39402 Ph: (228) 231-0516 | Legacy Wellness Services Llc 6068 Us Hwy 98 West Hattiesburg MS 39402 Ph: (228) 231-0516 |
NPI Number | 1912579202 |
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Provider Enumeration Date | 07/15/2021 |
Last Update Date | 07/15/2021 |
Certification Date | 07/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912579202 | NPI | - | NPPES |
NONE | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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Magnolia Behavioral Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6668 Hwy 98, Suite A, Hattiesburg, MS 39402 Phone: 601-348-7792 | |
Merit Health Wesley Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 Fax: 601-268-5008 | |
Will's Way, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Adeline St, Suite B, Hattiesburg, MS 39401 Phone: 601-466-9190 Fax: 186-662-5055 | |
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