Healthcare Provider Details

I. General information

NPI: 1922821123
Provider Name (Legal Business Name): RELIEF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N BURKE AVE
LONG BEACH MS
39560-4605
US

IV. Provider business mailing address

102 N BURKE AVE
LONG BEACH MS
39560-4605
US

V. Phone/Fax

Practice location:
  • Phone: 228-284-2176
  • Fax:
Mailing address:
  • Phone: 228-284-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ADDISON SWEEBE
Title or Position: DIRECTOR
Credential:
Phone: 228-806-8914