| Avickwel, Llc | |
|
10 Canebrake Blvd Ste 110-67 Flowood MS 39232-2211 | |
| (314) 327-9994 | |
| Not Available |
| Full Name | Avickwel, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10 Canebrake Blvd Ste 110-67, Flowood, Mississippi |
| Authorized Official Name and Position | Amy Henderson (OWNER) |
| Authorized Official Contact | 3143279994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avickwel, Llc 10 Canebrake Blvd Ste 110-67 Flowood MS 39232-2211 Ph: (314) 327-9994 | Avickwel, Llc 10 Canebrake Blvd Ste 110-67 Flowood MS 39232-2211 Ph: (314) 327-9994 |
| NPI Number | 1700759511 |
|---|---|
| Provider Enumeration Date | 09/26/2025 |
| Last Update Date | 09/26/2025 |
| Certification Date | 09/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700759511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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