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Organization
ONE SOLUTION CEREBRAL WELLNESS
Active
Organization
ONE SOLUTION CEREBRAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD J HASSON (REVENUE CYCLE MANAGER)
(234) 239-5999
Entity
Organization
Contact information
Practice address
4063 GINGER DR STE D, DIBERVILLE, MS 39540-3705
(234) 239-5999
(234) 206-2761
Mailing address
4063 GINGER DR STE D, DIBERVILLE, MS 39540-3705
(234) 239-5999
(234) 206-2761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
11/13/2024
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