| Life Help 1915i | |
|
2712 Highway 82 East Greenwood MS 38935 | |
| (662) 453-5403 | |
| (662) 453-2095 |
| Full Name | Life Help 1915i |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2712 Highway 82 East, Greenwood, Mississippi |
| Authorized Official Name and Position | Phaedre Cole (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6624536211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Help 1915i P O Box 1505 2712 Highway 82 East Greenwood MS 38935 Ph: (662) 453-5403 | Life Help 1915i 2712 Highway 82 East Greenwood MS 38935 Ph: (662) 453-5403 |
| NPI Number | 1740656628 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 08/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740656628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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