| Mending Pieces, Llc | |
|
907 E Independence St Brookhaven MS 39601-3101 | |
| (601) 455-6222 | |
| Not Available |
| Full Name | Mending Pieces, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 907 E Independence St, Brookhaven, Mississippi |
| Authorized Official Name and Position | Lakesha Robinson (OWNER) |
| Authorized Official Contact | 6014556222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Pieces, Llc 401 Eitel Pl Brookhaven MS 39601-2403 Ph: (601) 455-6222 | Mending Pieces, Llc 907 E Independence St Brookhaven MS 39601-3101 Ph: (601) 455-6222 |
| NPI Number | 1366203978 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366203978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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