| Butterfly Affect | |
|
4915 I 55 N Frontage Rd Ste C 305 Jackson MS 39205 | |
| (769) 226-6232 | |
| Not Available |
| Full Name | Butterfly Affect |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4915 I 55 N Frontage Rd Ste C 305, Jackson, Mississippi |
| Authorized Official Name and Position | Jennifer Green (MEMBER) |
| Authorized Official Contact | 7692266232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Butterfly Affect Po Box 59053 Jackson MS 39284-9053 Ph: (769) 226-6232 | Butterfly Affect 4915 I 55 N Frontage Rd Ste C 305 Jackson MS 39205 Ph: (769) 226-6232 |
| NPI Number | 1831795095 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 12/11/2020 |
| Certification Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831795095 | NPI | - | NPPES |
| 00754701 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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