The Shepherd's Staff | |
2508 Lakeland Dr Suite 200 Flowood MS 39232-9502 | |
(601) 664-0455 | |
(601) 664-1675 |
Full Name | The Shepherd's Staff |
---|---|
Speciality | Counselor |
Location | 2508 Lakeland Dr, Flowood, Mississippi |
Authorized Official Name and Position | Ruth L Glaze (VP) |
Authorized Official Contact | 6016640455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Shepherd's Staff 2508 Lakeland Dr Suite 200 Flowood MS 39232-9502 Ph: (601) 664-0455 | The Shepherd's Staff 2508 Lakeland Dr Suite 200 Flowood MS 39232-9502 Ph: (601) 664-0455 |
NPI Number | 1679768287 |
---|---|
Provider Enumeration Date | 09/07/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679768287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Mississippi) | Primary |
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