Active NPIOrganization

Meditelecare Of Mississippi LLC

Psychologist, Clinical in Flowood, Mississippi

NPI Number1467951939
Practice location
645 Lakeland East Dr Ste 101, Flowood, MS 39232-9099
Fax
—
Last updated
July 16, 2019

Meditelecare Of Mississippi LLC is a healthcare organization based in Flowood, MS. Meditelecare Of Mississippi LLC practices in Flowood, MS. The NPI Number for Meditelecare Of Mississippi LLC is 1467951939. The current practice location address for Meditelecare Of Mississippi LLC is 645 Lakeland East Dr Ste 101, Flowood, MS 39232-9099 and can be reached out via phone at 860-788-6404.

Provider Profile Details

NPI Number
1467951939
Provider Name
Meditelecare Of Mississippi LLC
Provider Entity Type
Organization
Address
645 Lakeland East Dr Ste 101, Flowood, MS 39232-9099
Phone Number
860-788-6404
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Teresa P Trojanowski · Director Of Revenue Cycle · 860-788-6404
Provider Enumeration Date
February 9, 2018
Last Update Date
July 16, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
645 Lakeland East Dr Ste 101
Flowood, MS 39232-9099
Zip
39232-9099
Phone Number
860-788-6404
Flowood, MS 39232Get directions →

Provider Business Mailing Address Details

Address
Po Box 1595
Middletown, CT 06457-8095
City
Middletown
State
CT
Zip
06457-8095
Phone Number
860-788-6404
Fax Number
860-829-0495

License Information

Taxonomy (1)
Social Worker · 104100000X
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X
Taxonomy (3)
· 2084P0805X
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Taxonomy (5)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Meditelecare Of Mississippi LLC?

The NPI number of Meditelecare Of Mississippi LLC is 1467951939. It was assigned on February 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Meditelecare Of Mississippi LLC?

Meditelecare Of Mississippi LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Meditelecare Of Mississippi LLC practice?

The practice location is 645 Lakeland East Dr Ste 101, Flowood, MS 39232-9099. The office can be reached at 860-788-6404 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467951939 directly on the NPPES registry website.

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