| Purplebutterfly, Llc | |
|
90 W Lakeview Dr. Clinton MS 39056-5266 | |
| (662) 586-1815 | |
| (769) 241-0062 |
| Full Name | Purplebutterfly, Llc |
|---|---|
| Speciality | Counselor |
| Location | 90 W Lakeview Dr., Clinton, Mississippi |
| Authorized Official Name and Position | Tracey Marshall (PRESIDENT) |
| Authorized Official Contact | 6625861815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purplebutterfly, Llc Po Box 1142 Clinton MS 39060-1142 Ph: (601) 622-6260 | Purplebutterfly, Llc 90 W Lakeview Dr. Clinton MS 39056-5266 Ph: (662) 586-1815 |
| NPI Number | 1689458598 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689458598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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