| Life Choices Community Health Services | |
|
4807 N State St Jackson MS 39206-4826 | |
| (601) 624-4070 | |
| Not Available |
| Full Name | Life Choices Community Health Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4807 N State St, Jackson, Mississippi |
| Authorized Official Name and Position | Brenda Faye Mason (OWNER) |
| Authorized Official Contact | 6016244070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Choices Community Health Services 4807 N State St Jackson MS 39206-4826 Ph: (601) 624-4070 | Life Choices Community Health Services 4807 N State St Jackson MS 39206-4826 Ph: (601) 624-4070 |
| NPI Number | 1063800126 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063800126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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