| Mend Llc | |
|
2692 W Oxford Loop Oxford MS 38655 | |
| (662) 822-4657 | |
| Not Available |
| Full Name | Mend Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2692 W Oxford Loop, Oxford, Mississippi |
| Authorized Official Name and Position | Jondelyn Catlette (OWNER) |
| Authorized Official Contact | 6623335123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mend Llc 2692 W Oxford Loop Oxford MS 38655-5498 Ph: (662) 333-5123 | Mend Llc 2692 W Oxford Loop Oxford MS 38655 Ph: (662) 822-4657 |
| NPI Number | 1427543776 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427543776 | NPI | - | NPPES |
| 1457896979 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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