| Tera Walters Therapy Llc | |
|
110 Amber Ln Lucedale MS 39452-8623 | |
| (251) 680-9686 | |
| Not Available |
| Full Name | Tera Walters Therapy Llc |
|---|---|
| Speciality | Clinic/center - Hearing And Speech |
| Location | 110 Amber Ln, Lucedale, Mississippi |
| Authorized Official Name and Position | Tera Walters (OWNER/MANAGER) |
| Authorized Official Contact | 2516809686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tera Walters Therapy Llc 148 Ridge Hill Dr Lucedale MS 39452-2838 Ph: (251) 680-9686 | Tera Walters Therapy Llc 110 Amber Ln Lucedale MS 39452-8623 Ph: (251) 680-9686 |
| NPI Number | 1801367107 |
|---|---|
| Provider Enumeration Date | 12/12/2018 |
| Last Update Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801367107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Primary |
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