| Time For A Change Counseling, Llc | |
|
230 W Court St Brookhaven MS 39601-2750 | |
| (601) 207-9531 | |
| (601) 258-7098 |
| Full Name | Time For A Change Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 W Court St, Brookhaven, Mississippi |
| Authorized Official Name and Position | Megan M Hamm (OWNER/THERAPIST) |
| Authorized Official Contact | 6012079531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Time For A Change Counseling, Llc Po Box 4131 Brookhaven MS 39603-6131 Ph: () - | Time For A Change Counseling, Llc 230 W Court St Brookhaven MS 39601-2750 Ph: (601) 207-9531 |
| NPI Number | 1306492947 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 12/09/2020 |
| Certification Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306492947 | NPI | - | NPPES |
| 03106225 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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