Desoto Family Counseling Center Pllc

Mental Health Clinic | Counselor


  
8626 Airways Blvd, Southaven
Mississippi, 38671-2603

 662-772-5937     662-772-5940Maps & Directions
Desoto Family Counseling Center Pllc is a Counselor (Mental Health) Clinic in Southaven, Mississippi. It is situated at 8626 Airways Blvd, Southaven and its contact number is 662-772-5937. The authorized person of Desoto Family Counseling Center Pllc is Anthony Jerome Wood who is Owner of the clinic and their contact number is 662-772-5937. Primary license number for Desoto Family Counseling Center Pllc is 1326 () in Mississippi.
Desoto Family Counseling Center Pllc Clinic Definition to come...
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Complete Clinic Profile:
Desoto Family Counseling Center Pllc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Specialization: Mental Health, Counselor
Clinic Address:8626 Airways Blvd, Southaven,
Mississippi, 38671-2603
Phone:662-772-5937
Fax:662-772-5940
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Anthony Jerome Wood
Position: Owner
Contact Number: 662-772-5937
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Desoto Family Counseling Center Pllc Clinic are as mentioned below.
NPI Number: 1912214792
NPI Enumeration Date: 01 Sep, 2010
NPI Last Update On: 24 Feb, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Desoto Family Counseling Center Pllc are as mentioned below.
SpecializationLicense NumberStateStatus
Community/behavioral Health 1326MississippiPrimary
Mental Health Secondary
Professional Secondary
Psychiatry MississippiSecondary
Pediatrics Secondary
Occupational Therapist Secondary
Speech-language Pathologist Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
02332763MedicaidMississippi
03458834MedicaidMississippi
09250853MedicaidMississippi
04057773MedicaidMississippi
04073099MedicaidMississippi
09485302MedicaidMississippi
1558401521MedicaidMississippi
01128006MedicaidMississippi
03322249MedicaidMississippi
03350341MedicaidMississippi
05103380MedicaidMississippi
05476356MedicaidMississippi
09588552MedicaidMississippi
00432297MedicaidMississippi
01924277MedicaidMississippi
08579847MedicaidMississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Desoto Family Counseling Center Pllc
8626 Airways Blvd,
Southaven, Mississippi
Zip: 38671-2603
Phone Number: 662-772-5937
Fax Number: 662-772-5940
Patients can reach Desoto Family Counseling Center Pllc at 8626 Airways Blvd, Southaven, Mississippi or can call to book an appointment on 662-772-5937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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