| Rhonda Sanders, Lcsw, Llc | |
|
703 W Canal St Picayune MS 39466-3918 | |
| (601) 749-9477 | |
| (601) 749-0605 |
| Full Name | Rhonda Sanders, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 703 W Canal St, Picayune, Mississippi |
| Authorized Official Name and Position | Rhonda Sanders (OWNER) |
| Authorized Official Contact | 6017499477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhonda Sanders, Lcsw, Llc 703 W Canal St Picayune MS 39466-3918 Ph: (601) 749-9477 | Rhonda Sanders, Lcsw, Llc 703 W Canal St Picayune MS 39466-3918 Ph: (601) 749-9477 |
| NPI Number | 1467763136 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 06/28/2010 |
| Medicare PECOS PAC ID | 1951432327 |
|---|---|
| Medicare Enrollment ID | O20100629000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467763136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C5770 (Mississippi) | Primary |
| Provider Name | Rhonda M Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508081712 PECOS PAC ID: 4981739273 Enrollment ID: I20100709000310 |
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