Organization
MISS-LOU WELLNESS CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GETTY E ISRAEL MPH (EXECUTIVE DIRECTOR)
(601) 487-6894
Entity
Organization
Contact information
Practice address
5839 PEAR ORCHARD RD, JACKSON, MS 39211-3311
(601) 487-6894
(601) 487-6894
Mailing address
5839 PEAR ORCHARD RD, JACKSON, MS 39211-3311
(601) 487-6894
(601) 487-6894
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015034
—
MS
Enumeration date
03/23/2015
Last updated
03/27/2018
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