Organization
BEHAVIORAL CONSULTANT SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDRICK T HIBBLER (MANAGER)
(601) 408-0719
Entity
Organization
Contact information
Practice address
313 ABBEY CT, BILOXI, MS 39531-4023
(601) 408-0719
Mailing address
18 ERLENE WATTS RD, RICHTON, MS 39476-9113
(601) 408-0719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/23/2022
Last updated
07/28/2022
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