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Organization
HINDS BEHAVIORAL
Active
Organization
HINDS BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATORIA MILLER (INSURANCE CLERK/CREDENITAL SPECIALI)
(601) 321-2497
Entity
Organization
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2497
(601) 321-2476
Mailing address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2497
(601) 321-2476
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1827
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018209
—
MS
Enumeration date
11/27/2013
Last updated
11/27/2013
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