Psychological Education Inc | |
4611 Jonathan Dr Horn Lake MS 38637-8959 | |
(302) 222-7235 | |
Not Available |
Full Name | Psychological Education Inc |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 4611 Jonathan Dr, Horn Lake, Mississippi |
Authorized Official Name and Position | Joseph Ben Piercy (COO) |
Authorized Official Contact | 3022227235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychological Education Inc 4611 Jonathan Dr Horn Lake MS 38637-8959 Ph: (302) 222-7235 | Psychological Education Inc 4611 Jonathan Dr Horn Lake MS 38637-8959 Ph: (302) 222-7235 |
NPI Number | 1205451267 |
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Provider Enumeration Date | 06/15/2020 |
Last Update Date | 11/27/2023 |
Certification Date | 06/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205451267 | NPI | - | NPPES |
1214764 | Other | MS | MS SECRETARY OF STATE BUSINESS ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Psychological Education Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4611 Jonathan Dr, Horn Lake, MS 38637 Phone: 302-222-7235 |