| Booco Llc | |
|
60 Scarlet St Purvis MS 39475-3566 | |
| (601) 595-1099 | |
| Not Available |
| Full Name | Booco Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 60 Scarlet St, Purvis, Mississippi |
| Authorized Official Name and Position | Sharon Griffin (OWNER) |
| Authorized Official Contact | 6015951099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booco Llc 60 Scarlet St Purvis MS 39475-3566 Ph: (601) 595-1099 | Booco Llc 60 Scarlet St Purvis MS 39475-3566 Ph: (601) 595-1099 |
| NPI Number | 1033001771 |
|---|---|
| Provider Enumeration Date | 07/17/2025 |
| Last Update Date | 07/17/2025 |
| Certification Date | 07/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033001771 | NPI | - | NPPES |
| CSW.09926220 | Other | CO | LCSW |
| C5583 | Other | MS | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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