| NPI | 1831672435 |
|---|---|
| Former Legal Business Name | HEALTHCAREONTHEGO |
| Entity Type | Organization |
| Authorized Contact | TEARRAH CONERLY Nurse Practitioner 601-938-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 101YM0800X Counselor, Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 374U00000X Home Health Aide | |
| 207Q00000X Family Medicine | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-09-22 |