On Site Therapy Associates | |
1070 Buckley Dr Jackson MS 39206-6110 | |
(601) 713-2194 | |
(601) 366-8167 |
Full Name | On Site Therapy Associates |
---|---|
Speciality | Social Worker - Clinical |
Location | 1070 Buckley Dr, Jackson, Mississippi |
Authorized Official Name and Position | Deborah J Holt (OWNER) |
Authorized Official Contact | 6017132194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
On Site Therapy Associates 1070 Buckley Dr Jackson MS 39206-6110 Ph: (601) 713-2194 | On Site Therapy Associates 1070 Buckley Dr Jackson MS 39206-6110 Ph: (601) 713-2194 |
NPI Number | 1356549083 |
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Provider Enumeration Date | 07/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356549083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | M2598 (Mississippi) | Primary |
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