CHANGE YOUR WORLD MENTAL HEALTH AGENCY NPI 1720476906

NPI Information

CHANGE YOUR WORLD MENTAL HEALTH AGENCY is a mental health counselor in Jackson, MS. CHANGE YOUR WORLD MENTAL HEALTH AGENCY NPI is 1720476906. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4807 N STATE ST STE 401
JACKSON, MS
ZIP 39206-826
Phone: (601) 316-6163

The provider's authorized official is Shirley Daniels .
The authorized official title is Owner and has the following contact phone number (601) 316-6163.

The enumeration date for this NPI number is 12/23/2014 and was last updated on 12/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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