Organization
KIDZPLAY COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATASHA BETHEA (OWNER)
(910) 853-2184
Entity
Organization
Contact information
Practice address
1010 MONROE ST, VICKSBURG, MS 39183-2552
(910) 853-2184
Mailing address
1010 MONROE ST, VICKSBURG, MS 39183-2552
(910) 853-2184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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