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25D2260302 CLIA NUMBER - 84 HEALTH AND WELLNESS

Laboratory Demographics

CLIA Number: 25D2260302

Facility Name: 84 HEALTH AND WELLNESS

Facility Address:
1037 HWY 84E
BROOKHAVEN, MS
ZIP 39601
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Facility Phone Number: 601 823-3221

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1164166872

Taxonomy: 225X00000X - Occupational Therapist
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

CLIA Record

Field Name Field Value
CLIA Number 25D2260302
LAB Type Physician Office
Facility Name 84 HEALTH AND WELLNESS
Street 1037 HWY 84E
City BROOKHAVEN
State MS
ZIP 39601
Phone 601 823-3221
CertificateType 4
CertificateEffectiveDate 5/17/2022
CertificateExpirationDate 5/16/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024