| Chandler & Associates | |
|
1900 Dunbarton Dr Ste J Jackson MS 39216-5015 | |
| (769) 428-1681 | |
| (769) 241-5091 |
| Full Name | Chandler & Associates |
|---|---|
| Speciality | Counselor |
| Location | 1900 Dunbarton Dr Ste J, Jackson, Mississippi |
| Authorized Official Name and Position | TL Chandler (CEO) |
| Authorized Official Contact | 7694281681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler & Associates 1900 Dunbarton Dr Ste J Jackson MS 39216-5015 Ph: (769) 428-1681 | Chandler & Associates 1900 Dunbarton Dr Ste J Jackson MS 39216-5015 Ph: (769) 428-1681 |
| NPI Number | 1003447657 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 5294133377 |
|---|---|
| Medicare Enrollment ID | O20230224002471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003447657 | NPI | - | NPPES |
| 06305302 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Maxie Lerone Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427018613 PECOS PAC ID: 2466406798 Enrollment ID: I20050309000456 |
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