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NPI Code Detail

MEDICARE: MISSISSIPPI FAMILIES FOR KIDS

MEDICARE: MISSISSIPPI FAMILIES FOR KIDS
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1578751723
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSISSIPPI FAMILIES FOR KIDS
Provider Business Mailing Address
First Line : 407 BRIARWOOD DR STE 209
Second Line :
City : JACKSON
State : MS
Zip : 39206-3036
Country : US
Telephone Number : 601-957-7670
Fax Number : 601-957-7640
Provider Business Practice Location Address
First Line : 407 BRIARWOOD DR STE 209
Second Line :
City : JACKSON
State : MS
Zip : 39206-3036
Country : US
Telephone Number : 601-957-7670
Fax Number : 601-957-7640
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. NADEANE CATTRELL
Credential : LCSW
Telephone Number : 601-957-7670
Provider Enumeration Date : 10/11/2007
Last Update Date : 02/02/2024

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1821780065 — NADEANE CATTRELL LCSW
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1467342782 — DESIREE STATES CSS
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1336039676 — MS. TARYN D. MCDONALD MSW
Practice Location Address:
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Practice Fax: 601-957-7640

Directions to “MISSISSIPPI FAMILIES FOR KIDS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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