| Mary R. Stock, Phd, Lcsw, Llc | |
|
4423 Leisure Time Dr Diamondhead MS 39525-3221 | |
| (228) 216-0130 | |
| Not Available |
| Full Name | Mary R. Stock, Phd, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4423 Leisure Time Dr, Diamondhead, Mississippi |
| Authorized Official Name and Position | Mary R Stock (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2282160130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary R. Stock, Phd, Lcsw, Llc Po Box 1144 Kiln MS 39556-1144 Ph: (228) 216-0130 | Mary R. Stock, Phd, Lcsw, Llc 4423 Leisure Time Dr Diamondhead MS 39525-3221 Ph: (228) 216-0130 |
| NPI Number | 1629381728 |
|---|---|
| Provider Enumeration Date | 07/17/2010 |
| Last Update Date | 07/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629381728 | NPI | - | NPPES |
| 1811153042 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C2936 (Mississippi) | Primary |
Cornelia Swayze, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4423 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-363-2211 Fax: 228-255-6494 | |
Chamberlain Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 79321 Diamondhead Dr E, Diamondhead, MS 39525 Phone: 601-850-8663 |