| Triple H Ranch Llc | |
|
7205 Humphrey Rd Vancleave MS 39565-7806 | |
| (228) 283-5005 | |
| Not Available |
| Full Name | Triple H Ranch Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7205 Humphrey Rd, Vancleave, Mississippi |
| Authorized Official Name and Position | Dawn Vanbuskirk (OWNER/THERAPIST) |
| Authorized Official Contact | 2282835005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triple H Ranch Llc 7205 Humphrey Rd Vancleave MS 39565-7806 Ph: (228) 283-5005 | Triple H Ranch Llc 7205 Humphrey Rd Vancleave MS 39565-7806 Ph: (228) 283-5005 |
| NPI Number | 1619684461 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619684461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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