| Seasons Of Life Therapy, Llc | |
|
1260 Highway 178 Mantachie MS 38855-7272 | |
| (662) 231-0173 | |
| Not Available |
| Full Name | Seasons Of Life Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1260 Highway 178, Mantachie, Mississippi |
| Authorized Official Name and Position | Debbie Mcmillen Pannell (OWNER) |
| Authorized Official Contact | 6622310171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Of Life Therapy, Llc 775 Hopewell Keys Rd Fulton MS 38843-9209 Ph: (662) 231-0173 | Seasons Of Life Therapy, Llc 1260 Highway 178 Mantachie MS 38855-7272 Ph: (662) 231-0173 |
| NPI Number | 1447070693 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447070693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |