Mississippi Behavioral Health Care, Llc | |
299 Apache Dr Ste C Mccomb MS 39648-6301 | |
(225) 239-5498 | |
(225) 239-5543 |
Full Name | Mississippi Behavioral Health Care, Llc |
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Speciality | Community/Behavioral Health |
Location | 299 Apache Dr Ste C, Mccomb, Mississippi |
Authorized Official Name and Position | Ben Thomas (OWNER) |
Authorized Official Contact | 2252395498 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mississippi Behavioral Health Care, Llc 8786 Goodwood Blvd Ste 105 Baton Rouge LA 70806-7917 Ph: (225) 239-5498 | Mississippi Behavioral Health Care, Llc 299 Apache Dr Ste C Mccomb MS 39648-6301 Ph: (225) 239-5498 |
NPI Number | 1386272094 |
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Provider Enumeration Date | 03/29/2020 |
Last Update Date | 02/24/2022 |
Certification Date | 02/24/2022 |
Medicare PECOS PAC ID | 3476953498 |
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Medicare Enrollment ID | O20210614001508 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386272094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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