New Mercy Behavioral Health Llc | |
135 Bounds St Jackson MS 39206-4121 | |
(601) 808-1820 | |
Not Available |
Full Name | New Mercy Behavioral Health Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 135 Bounds St, Jackson, Mississippi |
Authorized Official Name and Position | Lynette Clark (CREDENTIALING MANAGER) |
Authorized Official Contact | 7703397667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Mercy Behavioral Health Llc Po Box 1491 Augusta GA 30903-1491 Ph: (601) 808-1820 | New Mercy Behavioral Health Llc 135 Bounds St Jackson MS 39206-4121 Ph: (601) 808-1820 |
NPI Number | 1114480753 |
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Provider Enumeration Date | 04/10/2019 |
Last Update Date | 05/06/2021 |
Certification Date | 05/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114480753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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