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Butterfly Affect
Adolescent and Children Mental Health Clinic/Center in Jackson, Mississippi
NPI 1831795095

Butterfly Affect is an Adolescent and Children Mental Health Clinic/Center based in Jackson, MS and is specialized in Adolescent and Children Mental Health. Butterfly Affect practices in Jackson, MS. The NPI Number for Butterfly Affect is 1831795095 and holds a License No. (Mississippi).

The current practice location address for Butterfly Affect is 4915 I 55 N Frontage Rd Ste C 305, Jackson, MS and can be reached out via phone at 769-226-6232.

Location: 4915 I 55 N Frontage Rd Ste C 305, Jackson, MS, 39284-9053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831795095
Provider Name
Butterfly Affect
Credential
Provider Entity Type
Organization
Address
4915 I 55 N Frontage Rd Ste C 305, Jackson, MS, 39284-9053
Phone Number
769-226-6232
Fax Number
Provider Enumeration Date
12/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00754701 05 MS
institution
Provider Business Practice Location Address Details
Address
4915 I 55 N Frontage Rd Ste C 305
City
Jackson
State
Mississippi
Zip
39205
Phone Number
769-226-6232
Fax Number
person
Provider Business Mailing Address Details
Address
4915 I 55 N Frontage Rd Ste C 305
City
Jackson
State
Mississippi
Zip
39205
Phone Number
769-226-6232
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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