Organization
RECONNECT WELLNESS PASCAGOULA LLC
Active
Other names
Reconnect Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M WRIGHT (MANAGING MEMBER)
(662) 680-3148
Entity
Organization
Contact information
Practice address
4211 HOSPITAL ST STE 114, PASCAGOULA, MS 39581-5320
(662) 680-3148
Mailing address
2844 TRACELAND DR, TUPELO, MS 38801-4200
(662) 680-3148
(662) 620-9890
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
02/03/2021
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