| M & M Behavioral Health Center | |
|
1911 Mission 66 Ste G Vicksburg MS 39180-3762 | |
| (318) 680-8414 | |
| Not Available |
| Full Name | M & M Behavioral Health Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1911 Mission 66 Ste G, Vicksburg, Mississippi |
| Authorized Official Name and Position | Felecia Modicue (CEO) |
| Authorized Official Contact | 3186808414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M & M Behavioral Health Center 1911 Mission 66 Ste G Vicksburg MS 39180-3762 Ph: (318) 680-8414 | M & M Behavioral Health Center 1911 Mission 66 Ste G Vicksburg MS 39180-3762 Ph: (318) 680-8414 |
| NPI Number | 1760981773 |
|---|---|
| Provider Enumeration Date | 02/05/2018 |
| Last Update Date | 02/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760981773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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