Organization
BEYOND THE BROKENNESS MENTAL WELNESS SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELLA TERRELL LCSW (OWNER)
(601) 596-8937
Entity
Organization
Contact information
Practice address
1000 TURTLE CREEK DR STE 90, HATTIESBURG, MS 39402-1165
(601) 596-8937
Mailing address
PO BOX 18974, HATTIESBURG, MS 39404-8974
(601) 596-8937
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/10/2023
Last updated
05/11/2023
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