Organization
THE WELLNESS CENTER OF OXFORD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BAQUIE PSYD, LPC (OWNER)
(662) 371-1711
Entity
Organization
Contact information
Practice address
304 ENTERPRISE DR, OXFORD, MS 38655-2762
(662) 371-1711
(662) 371-1711
Mailing address
304 ENTERPRISE DR, OXFORD, MS 38655-2762
(662) 371-1711
(662) 371-1711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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