| Youth Villages | |
|
1504 County Road 402 Houston MS 38851-8201 | |
| (901) 282-9486 | |
| Not Available |
| Full Name | Youth Villages |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1504 County Road 402, Houston, Mississippi |
| Authorized Official Name and Position | Stephanie Lashone Stanfield (INTERCEPT FAMILY COUNSELOR) |
| Authorized Official Contact | 9012829486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages 1504 County Road 402 Houston MS 38851-8201 Ph: (901) 282-9486 | Youth Villages 1504 County Road 402 Houston MS 38851-8201 Ph: (901) 282-9486 |
| NPI Number | 1649480930 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649480930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Tennessee) | Primary |
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