| Shareevolution Behavioral Health & Wellness Llc | |
|
701 Franklin St Natchez MS 39120-3313 | |
| (601) 653-2896 | |
| Not Available |
| Full Name | Shareevolution Behavioral Health & Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 701 Franklin St, Natchez, Mississippi |
| Authorized Official Name and Position | Alicia Norris (OWNER) |
| Authorized Official Contact | 6014462419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shareevolution Behavioral Health & Wellness Llc 701 Franklin St Natchez MS 39120-3313 Ph: (320) 290-6448 | Shareevolution Behavioral Health & Wellness Llc 701 Franklin St Natchez MS 39120-3313 Ph: (601) 653-2896 |
| NPI Number | 1700528965 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0446630602 |
|---|---|
| Medicare Enrollment ID | O20220706000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700528965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Alicia Norris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194193474 PECOS PAC ID: 8921335134 Enrollment ID: I20191107002050 |
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