| Progress Place LLC | |
|
5144 Clear Creek Dr Meridian MS 39301-8896 | |
| (601) 917-1776 | |
| Not Available |
| Full Name | Progress Place LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5144 Clear Creek Dr, Meridian, Mississippi |
| Authorized Official Name and Position | Latanya Michelle Hopson (SOLE OWNER/MANAGER) |
| Authorized Official Contact | 6019171776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress Place LLC 5144 Clear Creek Dr Meridian MS 39301-8896 Ph: (601) 917-1776 | Progress Place LLC 5144 Clear Creek Dr Meridian MS 39301-8896 Ph: (601) 917-1776 |
| NPI Number | 1205226016 |
|---|---|
| Provider Enumeration Date | 02/01/2015 |
| Last Update Date | 02/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205226016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C4820 (Mississippi) | Primary |
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