| Shephearst Meadows, Llc | |
|
513 Keywood Cir Flowood MS 39232-3019 | |
| (601) 933-1136 | |
| Not Available |
| Full Name | Shephearst Meadows, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 513 Keywood Cir, Flowood, Mississippi |
| Authorized Official Name and Position | Cynthia Renea Hearst-turner (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6019331136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shephearst Meadows, Llc Po Box 320754 Flowood MS 39232-0754 Ph: (601) 933-1136 | Shephearst Meadows, Llc 513 Keywood Cir Flowood MS 39232-3019 Ph: (601) 933-1136 |
| NPI Number | 1063603702 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063603702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 39649 (Mississippi) | Primary |
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