Organization
THE WELLNESS CONNECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LOUISE LYLES LCSW (OWNER)
(601) 212-9744
Entity
Organization
Contact information
Practice address
572 TURTLE LN, BRANDON, MS 39047-5087
(601) 212-9744
Mailing address
572 TURTLE LN, BRANDON, MS 39047-5087
(601) 212-9744
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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