| New Mercy Behavioral Health Llc | |
|
135 Bounds St Jackson MS 39206-4121 | |
| (601) 808-1820 | |
| Not Available |
| Full Name | New Mercy Behavioral Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 135 Bounds St, Jackson, Mississippi |
| Authorized Official Name and Position | Lynette Clark (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7703397667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mercy Behavioral Health Llc Po Box 1491 Augusta GA 30903-1491 Ph: (601) 808-1820 | New Mercy Behavioral Health Llc 135 Bounds St Jackson MS 39206-4121 Ph: (601) 808-1820 |
| NPI Number | 1114480753 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114480753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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