| Sheehan Counseling Center, P.a. | |
|
1040b S Madison St Tupelo MS 38801-6300 | |
| (662) 844-4364 | |
| Not Available |
| Full Name | Sheehan Counseling Center, P.a. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1040b S Madison St, Tupelo, Mississippi |
| Authorized Official Name and Position | Clyde Alexander Sheehan (PRESIDENT) |
| Authorized Official Contact | 6628444364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheehan Counseling Center, P.a. 1040b S Madison St Tupelo MS 38801-6300 Ph: (662) 844-4364 | Sheehan Counseling Center, P.a. 1040b S Madison St Tupelo MS 38801-6300 Ph: (662) 844-4364 |
| NPI Number | 1326135104 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326135104 | NPI | - | NPPES |
| 09337863 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 13618 (Mississippi) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 13618 (Mississippi) | Primary |
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