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Organization
SHEPHEARST MEADOWS, LLC
Active
Organization
SHEPHEARST MEADOWS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA RENEA HEARST-TURNER M.A. (OWNER/CLINICAL DIRECTOR)
(601) 933-1136
Entity
Organization
Contact information
Practice address
513 KEYWOOD CIR, FLOWOOD, MS 39232-3019
(601) 933-1136
Mailing address
PO BOX 320754, FLOWOOD, MS 39232-0754
(601) 933-1136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39649
MS
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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