Lifesteps, Inc | |
559 Clubhouse Dr Pearl MS 39208-9506 | |
(601) 750-7759 | |
Not Available |
Full Name | Lifesteps, Inc |
---|---|
Speciality | Social Worker - Clinical |
Location | 559 Clubhouse Dr, Pearl, Mississippi |
Authorized Official Name and Position | Tay Angell Nielsen (VICE-PRESIDENT) |
Authorized Official Contact | 6017507759 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifesteps, Inc 559 Clubhouse Dr Pearl MS 39208-9506 Ph: (601) 750-7759 | Lifesteps, Inc 559 Clubhouse Dr Pearl MS 39208-9506 Ph: (601) 750-7759 |
NPI Number | 1790982205 |
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Provider Enumeration Date | 06/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790982205 | NPI | - | NPPES |
03558254 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C5559 (Mississippi) | Primary |
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