| Be.me.ful | |
|
166 Harvey Cir Canton MS 39046-4560 | |
| (662) 836-9574 | |
| Not Available |
| Full Name | Be.me.ful |
|---|---|
| Speciality | Counselor - Professional |
| Location | 166 Harvey Cir, Canton, Mississippi |
| Authorized Official Name and Position | Kenyatta Y Dent (OWNER) |
| Authorized Official Contact | 6628369574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Be.me.ful Po Box 1132 Canton MS 39046-1132 Ph: (662) 836-9574 | Be.me.ful 166 Harvey Cir Canton MS 39046-4560 Ph: (662) 836-9574 |
| NPI Number | 1104587294 |
|---|---|
| Provider Enumeration Date | 01/01/2022 |
| Last Update Date | 01/01/2022 |
| Certification Date | 01/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104587294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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