Provider Information for 1356647523
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
FAMILY MATTERS FIRST
Organization Subpart: NO
NPI: 1356647523
Last Updated: 2011-02-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1356647523 | ||||||||
| Enumeration Date | 2011-02-04 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: Mrs. TERESA MESHALLE ADAMS LPC Title: Director Phone: 6016241756 | ||||||||
| Mailing Address | 1888 MAIN ST SUITE C169 MADISON, MS 39110-6337 United States Phone: 601-624-1756 | Fax:888-681-8969 | ||||||||
| Primary Practice Address | 4500 I 55 N SUITE 220 JACKSON, MS 39211-5930 United States Phone: 601-624-1756 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|