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Contact Information

SUPPORTIVE CONNECTIONS COMMUNITY SERVICES
4780 155 N
STE 116 202048
JACKSON, MS39211
 Phone: 619-722-8148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for SUPPORTIVE CONNECTIONS COMMUNITY SERVICES

NPI Number 1720804354
LBN Legal business name SUPPORTIVE CONNECTIONS COMMUNITY SERVICES
Authorized official WINFRED ALARCON - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2024
Last updated 11/27/2024 - More than a year 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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