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Organization
PREMIER CHOICE BEHAVIORAL HEALTH AND WELLNESS CLINIC, LLC
Active
Organization
PREMIER CHOICE BEHAVIORAL HEALTH AND WELLNESS CLINIC, LLC
Active
Other names
Premier Choice Behavioral Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY CARSON FNP-BC (FNP)
(601) 218-0969
Entity
Organization
Contact information
Practice address
1832 HOSPITAL DR, JACKSON, MS 39204-3410
(601) 371-8883
(866) 272-5766
Mailing address
PO BOX 59147, JACKSON, MS 39284-9147
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/01/2022
Last updated
10/03/2022
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