| Connecting The Dots Therapy, Llc | |
|
3823 Highway 80 E Ste 600 Pearl MS 39208-4278 | |
| (769) 524-4305 | |
| (769) 524-4321 |
| Full Name | Connecting The Dots Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3823 Highway 80 E Ste 600, Pearl, Mississippi |
| Authorized Official Name and Position | Jonathan Oneal Winston (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7695244305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecting The Dots Therapy, Llc Po Box 54475 Pearl MS 39288-4475 Ph: (769) 524-4305 | Connecting The Dots Therapy, Llc 3823 Highway 80 E Ste 600 Pearl MS 39208-4278 Ph: (769) 524-4305 |
| NPI Number | 1992268270 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992268270 | NPI | - | NPPES |
| 07504511 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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