| Journey To Healing Therapies Llc | |
|
1357 Revival Rd Belden MS 38826-9795 | |
| (662) 322-4243 | |
| Not Available |
| Full Name | Journey To Healing Therapies Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1357 Revival Rd, Belden, Mississippi |
| Authorized Official Name and Position | Nivea Depriest (OWNER) |
| Authorized Official Contact | 6623224243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To Healing Therapies Llc 1357 Revival Rd Belden MS 38826-9795 Ph: (662) 322-4243 | Journey To Healing Therapies Llc 1357 Revival Rd Belden MS 38826-9795 Ph: (662) 322-4243 |
| NPI Number | 1821710070 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Medicare PECOS PAC ID | 0840662227 |
|---|---|
| Medicare Enrollment ID | O20230401000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821710070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nivea Depriest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831482520 PECOS PAC ID: 8527301829 Enrollment ID: I20190529001609 |
Ph Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5137 Fain Ln, Belden, MS 38826 Phone: 662-871-4569 |