| Walthall County Behavioral Services | |
|
125 Old State Line Rd Tylertown MS 39667-5020 | |
| (601) 303-0472 | |
| Not Available |
| Full Name | Walthall County Behavioral Services |
|---|---|
| Speciality | Social Worker |
| Location | 125 Old State Line Rd, Tylertown, Mississippi |
| Authorized Official Name and Position | Sylvia Stogner (PRESIDENT/OWNER) |
| Authorized Official Contact | 6013030472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walthall County Behavioral Services 125 Old State Line Rd Tylertown MS 39667-5020 Ph: (601) 303-0472 | Walthall County Behavioral Services 125 Old State Line Rd Tylertown MS 39667-5020 Ph: (601) 303-0472 |
| NPI Number | 1770348153 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/24/2024 |
| Certification Date | 02/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770348153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Hope For Healing Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 114 Ball Ave, Tylertown, MS 39667 Phone: 601-303-0154 |