Organization
THE CHADWICK CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH CLARDY (MANAGER)
(662) 871-0911
Entity
Organization
Contact information
Practice address
609 BRUNSON DR STE B, TUPELO, MS 38801-4948
(662) 432-1097
(662) 432-1098
Mailing address
PO BOX 480, CORINTH, MS 38835-0480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
05/10/2022
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