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Contact Information

COUNSELING AND MENTORING PROGRAM
2964 TERRY ROAD B-1
JACKSON, MS39212
 Phone: 601-371-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for COUNSELING AND MENTORING PROGRAM

NPI Number 1609164748
LBN Legal business name COUNSELING AND MENTORING PROGRAM
Authorized official DANAH EVANS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2011
Last updated 07/11/2011 - About 15 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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