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Organization

FOR THE LOVE OF YOU

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLIETTA BASSETT (OWNER/PROVIDER)
(901) 240-4859
Entity
Organization

Contact information

Practice address
105 E CENTER ST, HERNANDO, MS 38632-2211
(901) 351-0962
Mailing address
2851 STAGE VILLAGE CV, BARTLETT, TN 38134-4683
(901) 351-0962

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/08/2021
Last updated
08/05/2024
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