| Becoming Undone Therapy Services Llc | |
|
4010 Oferral St Ste 209 Hattiesburg MS 39402-1613 | |
| (601) 463-8418 | |
| Not Available |
| Full Name | Becoming Undone Therapy Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4010 Oferral St Ste 209, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Shania Barr (OWNER) |
| Authorized Official Contact | 6014472321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becoming Undone Therapy Services Llc 4208 Highway 8 E Okolona MS 38860-9390 Ph: () - | Becoming Undone Therapy Services Llc 4010 Oferral St Ste 209 Hattiesburg MS 39402-1613 Ph: (601) 463-8418 |
| NPI Number | 1215705256 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215705256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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