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Indianola Clinic, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Leland, Mississippi
NPI 1164964565

Indianola Clinic, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Leland, MS and is specialized in Mental Health (Including Community Mental Health Center). Indianola Clinic, Llc practices in Leland, MS. The NPI Number for Indianola Clinic, Llc is 1164964565 and holds a License No. (Mississippi).

The current practice location address for Indianola Clinic, Llc is 201 Baker Blvd, Leland, MS and can be reached out via phone at 662-686-4121 and via fax at 662-686-4770.

Location: 201 Baker Blvd, Leland, MS, 38756-3401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164964565
Provider Name
Indianola Clinic, Llc
Credential
Provider Entity Type
Organization
Address
201 Baker Blvd, Leland, MS, 38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
Provider Enumeration Date
11/16/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
09889724 05 MS
institution
Provider Business Practice Location Address Details
Address
201 Baker Blvd
City
Leland
State
Mississippi
Zip
38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider Business Mailing Address Details
Address
201 Baker Blvd
City
Leland
State
Mississippi
Zip
38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
()
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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