| Vicksburg Community Center | |
|
2845 Clay St Vicksburg MS 39183-3141 | |
| (601) 218-5927 | |
| Not Available |
| Full Name | Vicksburg Community Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2845 Clay St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Ashley Danielle Johnson (DIRECTOR) |
| Authorized Official Contact | 6012185927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicksburg Community Center Po Box 821634 Vicksburg MS 39182-1634 Ph: (601) 218-5927 | Vicksburg Community Center 2845 Clay St Vicksburg MS 39183-3141 Ph: (601) 218-5927 |
| NPI Number | 1407284102 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407284102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Mississippi) | Primary |
Warren Yazoo Mental Health Service Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-634-0234 | |
Vicksburg Center For Exceptional Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Herrod St, Vicksburg, MS 39180 Phone: 601-218-5497 | |
Linda Sweezer Enterprises, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Holly St, Vicksburg, MS 39180 Phone: 601-630-3362 Fax: 855-540-0718 | |
Divine Home Care Changes Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Ethel Dr, Vicksburg, MS 39180 Phone: 919-339-1854 | |
Nulife Healthcare, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Holt Collier Dr Ste C, Vicksburg, MS 39183 Phone: 601-738-5565 Fax: 601-738-5544 | |
Cognitive Development Center Of Mississippi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1713 Clay St, Vicksburg, MS 39183 Phone: 601-883-1771 Fax: 601-883-1773 | |
Gateway Behavioral Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2705 Clay St, Vicksburg, MS 39183 Phone: 601-661-9752 Fax: 601-661-6021 |