CONSCIOUS CHANGE LLC

OXFORD, MS
NPI1275118036
Entity TypeOrganization
Authorized ContactKRISNA HERVEY
Owner
662-638-3388
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2021-03-12
Last Update Date2021-04-20
Business Address
CONSCIOUS CHANGE LLC
507 HERITAGE DR STE 101
OXFORD, MS 38655-5571
Phone number: 662-638-3388
Mailing Address
CONSCIOUS CHANGE LLC
PO BOX 2969
OXFORD, MS 38655-3001
Phone number: 662-638-3388
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