| Therapy Unlimited, Llc | |
|
751 Avignon Dr Ste C Ridgeland MS 39157-5161 | |
| (662) 312-6141 | |
| (601) 510-9324 |
| Full Name | Therapy Unlimited, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 751 Avignon Dr Ste C, Ridgeland, Mississippi |
| Authorized Official Name and Position | Lithonya Shirika Bevill (OWNER) |
| Authorized Official Contact | 6623126141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Unlimited, Llc 147 Stillhouse Creek Dr Madison MS 39110-6943 Ph: (662) 312-6141 | Therapy Unlimited, Llc 751 Avignon Dr Ste C Ridgeland MS 39157-5161 Ph: (662) 312-6141 |
| NPI Number | 1215458880 |
|---|---|
| Provider Enumeration Date | 07/04/2017 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 3779019302 |
|---|---|
| Medicare Enrollment ID | O20241206000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215458880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C5604 (Mississippi) | Primary |
| Provider Name | Lithonya Shirika Bevill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538483086 PECOS PAC ID: 4688100217 Enrollment ID: I20241206000232 |
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