| Tf Community Mental Health Llc | |
|
1458 Moncure Marble Rd Terry MS 39170-9605 | |
| (601) 878-8040 | |
| (601) 878-8034 |
| Full Name | Tf Community Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1458 Moncure Marble Rd, Terry, Mississippi |
| Authorized Official Name and Position | Frederick Terry (OWNWER) |
| Authorized Official Contact | 6018788040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tf Community Mental Health Llc 1458 Moncure Marble Rd Terry MS 39170-9605 Ph: (601) 878-8040 | Tf Community Mental Health Llc 1458 Moncure Marble Rd Terry MS 39170-9605 Ph: (601) 878-8040 |
| NPI Number | 1215615455 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215615455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Fresh Start Community Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Edward Owens Dr, Terry, MS 39170 Phone: 601-954-2421 | |
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