| Jireh Therapeutics Llc | |
|
5471 River Thames Place Jacksn MS 39211 | |
| (601) 566-5007 | |
| Not Available |
| Full Name | Jireh Therapeutics Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5471 River Thames Place, Jacksn, Mississippi |
| Authorized Official Name and Position | Korlynn Trice (DIRECTOR OF BILLING) |
| Authorized Official Contact | 6016245912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jireh Therapeutics Llc 5471 River Thames Place Jacksn MS 39211 Ph: (601) 566-5007 | Jireh Therapeutics Llc 5471 River Thames Place Jacksn MS 39211 Ph: (601) 566-5007 |
| NPI Number | 1134820095 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134820095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |