| Holistic Psychological Clinic, Pllc | |
|
2540 Flowood Dr Suite E Flowood MS 39232-9362 | |
| (601) 664-1001 | |
| Not Available |
| Full Name | Holistic Psychological Clinic, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2540 Flowood Dr, Flowood, Mississippi |
| Authorized Official Name and Position | Kimberly Lichte-madakasira (OWNER/PRESIDENT) |
| Authorized Official Contact | 6016641001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychological Clinic, Pllc 2540 Flowood Dr Suite E Flowood MS 39232-9362 Ph: (601) 664-1001 | Holistic Psychological Clinic, Pllc 2540 Flowood Dr Suite E Flowood MS 39232-9362 Ph: (601) 664-1001 |
| NPI Number | 1215356225 |
|---|---|
| Provider Enumeration Date | 04/08/2014 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215356225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0799 (Mississippi) | Primary |
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