| Roslyn Ashford Wellness, Inc. | |
|
542 Central Ave Laurel MS 39440-3955 | |
| (601) 228-1144 | |
| Not Available |
| Full Name | Roslyn Ashford Wellness, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 542 Central Ave, Laurel, Mississippi |
| Authorized Official Name and Position | Roslyn L Ashford (OWNER) |
| Authorized Official Contact | 6013073917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roslyn Ashford Wellness, Inc. 54 Mattie Dr Ellisville MS 39437-5147 Ph: (601) 307-3917 | Roslyn Ashford Wellness, Inc. 542 Central Ave Laurel MS 39440-3955 Ph: (601) 228-1144 |
| NPI Number | 1366064669 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366064669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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