Healing Hands Rehabilitation Services, LLC
Behavior Analyst in Gluckstadt, MS. Organization (NPI-2).
NPI number1609691963
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1609691963
- Entity type
- Organization (NPI-2)
- Legal business name
- Healing Hands Rehabilitation Services, LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 20, 2024
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
105 Lexington Dr Ste JGluckstadt, MS 39110-6646
Phone 601-910-7300 · Fax 601-910-7071
Mailing address
105 Lexington Dr Ste HGluckstadt, MS 39110-6646
Phone 601-910-7300 · Fax 601-910-7071
Authorized official
Jasmine Martin Smith
Managing Partner
6019107300
Is something wrong?
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