Organization · NPI-2

Beyond The Brokenness Mental Welness Solutions, LLC

Community/Behavioral Health · Hattiesburg, MS

NPI number1205526449
StatusActive
Last updated in NPPESMay 11, 2023

Details

NPI
1205526449
Entity type
Organization (NPI-2)
Legal business name
Beyond The Brokenness Mental Welness Solutions, LLC
Organization subpart
No
Enumeration date
May 10, 2023
Certification date
May 11, 2023
Last updated
May 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

1000 Turtle Creek Dr Ste 90
Hattiesburg, MS 39402-1165

Phone 601-596-8937

Mailing address

Po Box 18974
Hattiesburg, MS 39404-8974

Phone 601-596-8937

Authorized official

Danyella Terrell
Owner
6015968937

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