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NPI Code Detail

MEDICARE: LIFE HELP INDUSTRIES

MEDICARE: LIFE HELP INDUSTRIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487982757
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE HELP INDUSTRIES
Provider Business Mailing Address
First Line : PO BOX 1505
Second Line :
City : GREENWOOD
State : MS
Zip : 38935-1505
Country : US
Telephone Number : 662-453-6211
Fax Number : 662-455-8724
Provider Business Practice Location Address
First Line : 2504 BROWNING ROAD 520
Second Line :
City : GREENWOOD
State : MS
Zip : 38930-6022
Country : US
Telephone Number : 662-453-6211
Fax Number : 662-455-8724
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MADOLYN SMITH
Credential :
Telephone Number : 662-453-6211
Provider Enumeration Date : 11/25/2009
Last Update Date : 11/25/2009

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1952436057 — MRS. THERESA ANN RAFIQUE APRN
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1902045818 — MRS. JENNIFER NEFF CARSON LMSW
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38930-6022
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Practice Fax:
1871848952 — CHARLES S. SMALL PH.D.
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1427304070 — MILDRED B WARE LPC
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Directions to “LIFE HELP INDUSTRIES ” Practice Location

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