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Wellness Clinic, P.c.
Prescribing (Medical) Psychologist in Southaven, Mississippi
NPI 1386860898

Wellness Clinic, P.c. is a Prescribing (Medical) Psychologist based in Olive Branch, MS and is specialized in Prescribing (Medical). Wellness Clinic, P.c. practices in Southaven, MS. The NPI Number for Wellness Clinic, P.c. is 1386860898 and holds a License No. MD000025744 (Mississippi).

The current practice location address for Wellness Clinic, P.c. is 5740 Getwell Rd, Southaven, MS and can be reached out via phone at 662-892-5000 and via fax at 662-892-5002.

Location: 5740 Getwell Rd, Southaven, MS, 38654-2209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386860898
Provider Name
Wellness Clinic, P.c.
Credential
Provider Entity Type
Organization
Address
5740 Getwell Rd, Southaven, MS, 38654-2209
Phone Number
662-892-5000
Fax Number
662-892-5002
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3725205 05 TN
F95674 05 MS
00120361 05 MS
institution
Provider Business Practice Location Address Details
Address
5740 Getwell Rd
City
Southaven
State
Mississippi
Zip
38672-6346
Phone Number
662-892-5000
Fax Number
662-892-5002
person
Provider Business Mailing Address Details
Address
5740 Getwell Rd
City
Southaven
State
Mississippi
Zip
38672-6346
Phone Number
662-892-5000
Fax Number
662-892-5002
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
MD000025744 (Tennessee)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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