The Hills, Llc | |
2018 Hardy St Suite 20 Hattiesburg MS 39401-4975 | |
(601) 336-0445 | |
Not Available |
Full Name | The Hills, Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 2018 Hardy St, Hattiesburg, Mississippi |
Authorized Official Name and Position | Stacey Blalock Henry (OWNER/DIRECTOR) |
Authorized Official Contact | 6013101057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Hills, Llc 2018 Hardy St Suite 20 Hattiesburg MS 39401-4975 Ph: (601) 336-0445 | The Hills, Llc 2018 Hardy St Suite 20 Hattiesburg MS 39401-4975 Ph: (601) 336-0445 |
NPI Number | 1700122074 |
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Provider Enumeration Date | 12/14/2012 |
Last Update Date | 12/14/2012 |
Identifier | Type | State | Issuer |
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1700122074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 1099 (Kansas) | Primary |
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