Organization
VIRTUE STANDARDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGENIA PARKER CLINICAL SOCIAL WORK (OWNER)
(601) 497-7551
Entity
Organization
Contact information
Practice address
234 W SCHOOL ST, RIDGELAND, MS 39157
(601) 497-7551
(601) 510-9291
Mailing address
234 W SCHOOL ST, RIDGELAND, MS 39157-2707
(601) 497-7551
(601) 510-9291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
C9283
MS
253Z00000X
In Home Supportive Care Agency
C9283
MS
261Q00000X
Clinic/Center
C9283
MS
261QM0850X
Adult Mental Health Clinic/Center
Primary
C9283
MS
261QM0855X
Adolescent and Children Mental Health Clinic/Center
C9283
MS
Other
Enumeration date
06/20/2018
Last updated
10/15/2018
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