Organization
DESLIE BONANO, LCSW, BCD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESLIE BONANO (LCSW)
(601) 749-9477
Entity
Organization
Contact information
Practice address
703 W CANAL ST, PICAYUNE, MS 39466-3918
(601) 749-9477
(601) 889-1265
Mailing address
703 W CANAL ST, PICAYUNE, MS 39466-3918
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C6126
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124843
—
MS
Enumeration date
02/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us