| The Promise Group, Llc | |
|
8 Park Pl Apt 347p Hattiesburg MS 39402-1570 | |
| (704) 277-5227 | |
| Not Available |
| Full Name | The Promise Group, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8 Park Pl Apt 347p, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Kimberly Bunch-crump (DIRECTOR) |
| Authorized Official Contact | 7042775227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Promise Group, Llc 8 Park Pl Apt 347p Hattiesburg MS 39402-1570 Ph: (704) 277-5227 | The Promise Group, Llc 8 Park Pl Apt 347p Hattiesburg MS 39402-1570 Ph: (704) 277-5227 |
| NPI Number | 1376997791 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376997791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
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