| Seasons Of Life Therapy, Llc | |
|
1509 S Adams St Ste D Fulton MS 38843-6621 | |
| (662) 231-0173 | |
| Not Available |
| Full Name | Seasons Of Life Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1509 S Adams St Ste D, Fulton, Mississippi |
| Authorized Official Name and Position | Debbie Mcmillen Pannell (OWNER) |
| Authorized Official Contact | 6622310171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Of Life Therapy, Llc 1509 S Adams St Ste D Fulton MS 38843-6621 Ph: (662) 523-9831 | Seasons Of Life Therapy, Llc 1509 S Adams St Ste D Fulton MS 38843-6621 Ph: (662) 231-0173 |
| NPI Number | 1447070693 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 11/19/2025 |
| Certification Date | 11/19/2025 |
| Medicare PECOS PAC ID | 3870019029 |
|---|---|
| Medicare Enrollment ID | O20250430001748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447070693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debra Pannell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497131171 PECOS PAC ID: 3577960467 Enrollment ID: I20210920002132 |
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