| Prohealth Solutions | |
|
703 W Canal St Picayune MS 39466-3918 | |
| (601) 749-9477 | |
| (601) 889-1265 |
| Full Name | Prohealth Solutions |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 703 W Canal St, Picayune, Mississippi |
| Authorized Official Name and Position | Rodney David Hesson (DIRECTOR) |
| Authorized Official Contact | 6017499477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Solutions 703 W Canal St Picayune MS 39466-3918 Ph: (601) 749-9477 | Prohealth Solutions 703 W Canal St Picayune MS 39466-3918 Ph: (601) 749-9477 |
| NPI Number | 1992924625 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992924625 | NPI | - | NPPES |
| 05708224 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 44-713 (Mississippi) | Primary |
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