KIDZ FITNESS STATION NPI 1801227723

NPI Information

NPI: 1801227723
Provider Name: KIDZ FITNESS STATION
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2460 TERRY RD
JACKSON, MS
ZIP 39204
Phone: (404) 279-0598
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KIDZ FITNESS STATION is a mental health counselor in Jackson, MS. KIDZ FITNESS STATION NPI is 1801227723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2460 TERRY RD
JACKSON, MS
ZIP 39204-767
Phone: (404) 279-0598

The provider's authorized official is Asya Joy Smith .
The authorized official title is Owner and has the following contact phone number (404) 279-0598.

The enumeration date for this NPI number is 12/2/2013 and was last updated on 3/16/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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