| Supportive Services Llc | |
|
8830 Centre St Southaven MS 38671-2609 | |
| (662) 510-2523 | |
| (662) 510-2527 |
| Full Name | Supportive Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8830 Centre St, Southaven, Mississippi |
| Authorized Official Name and Position | Joshua A Kaplan (BUSINESS OWNER) |
| Authorized Official Contact | 9015177471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Services Llc 812 Rock Rd Memphis TN 38122-4331 Ph: (901) 517-7471 | Supportive Services Llc 8830 Centre St Southaven MS 38671-2609 Ph: (662) 510-2523 |
| NPI Number | 1346947892 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346947892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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