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Contact Information

DELTA LIFE THERAPEUTIC SOLUTIONS PLLC
705 1/2 CLEVELAND ST
ITTA BENA, MS38941
 Phone: 662-458-0408
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for DELTA LIFE THERAPEUTIC SOLUTIONS PLLC

NPI Number 1124616354
LBN Legal business name DELTA LIFE THERAPEUTIC SOLUTIONS PLLC
Authorized official EMELJA QUINN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2021
Last updated 01/04/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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