| Mended Hearts Counseling Services, Llc | |
|
159 Parkway Ave Rolling Fork MS 39159-5112 | |
| (662) 347-9999 | |
| Not Available |
| Full Name | Mended Hearts Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 159 Parkway Ave, Rolling Fork, Mississippi |
| Authorized Official Name and Position | Miriam Jackson-hamilton (OWNER) |
| Authorized Official Contact | 6623479999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mended Hearts Counseling Services, Llc 159 Parkway Ave Rolling Fork MS 39159-5112 Ph: () - | Mended Hearts Counseling Services, Llc 159 Parkway Ave Rolling Fork MS 39159-5112 Ph: (662) 347-9999 |
| NPI Number | 1780405738 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780405738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Delta Community Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W Race St, Rolling Fork, MS 39159 Phone: 662-873-6228 Fax: 662-873-2244 |