| Rebecca Blount Llc | |
|
520a W Canal St Picayune MS 39466-3915 | |
| (601) 599-9500 | |
| Not Available |
| Full Name | Rebecca Blount Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 520a W Canal St, Picayune, Mississippi |
| Authorized Official Name and Position | Rebecca G. Blount (OWNER) |
| Authorized Official Contact | 6015691567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Blount Llc 520a W Canal St Picayune MS 39466-3915 Ph: (769) 926-2511 | Rebecca Blount Llc 520a W Canal St Picayune MS 39466-3915 Ph: (601) 599-9500 |
| NPI Number | 1902395577 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902395577 | NPI | - | NPPES |
| 856788 | Other | MS | MS BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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