| Priscilla Pearson, Lcsw, Inc. | |
|
840 E River Pl Suite 504 Jackson MS 39202-3493 | |
| (601) 355-2060 | |
| (601) 969-7160 |
| Full Name | Priscilla Pearson, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 840 E River Pl, Jackson, Mississippi |
| Authorized Official Name and Position | Priscilla Pearson (PRESIDENT) |
| Authorized Official Contact | 6013552060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Priscilla Pearson, Lcsw, Inc. 840 E River Pl Suite 504 Jackson MS 39202-3493 Ph: (601) 355-2060 | Priscilla Pearson, Lcsw, Inc. 840 E River Pl Suite 504 Jackson MS 39202-3493 Ph: (601) 355-2060 |
| NPI Number | 1184797680 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 01/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184797680 | NPI | - | NPPES |
| 09203336 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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