Deslie Bonano, Lcsw, Bcd in Picayune - Community/behavioral Health

Deslie Bonano, Lcsw, Bcd - NPI 1336275064

Deslie Bonano, Lcsw, Bcd is a Community/behavioral Health in Picayune, Mississippi. Deslie Bonano, Lcsw, Bcd practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Deslie Bonano, Lcsw, Bcd is 1336275064. The last update date is 2020-08-22.

Deslie Bonano, Lcsw, Bcd's current location address is 703 W Canal St, Picayune, Mississippi. You can contact this provider via phone number 6017499477 and fax number 6018891265. The mailing address for Deslie Bonano, Lcsw, Bcd is 703 W Canal St, Picayune, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Deslie Bonano, Lcsw, Bcd
Address 703 W Canal St, Picayune, Mississippi
Phone Number 6017499477
Fax Number 6018891265
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LCSW
Authorized Official Name Bonano Deslie
Telephone Number 6017499477

NPI Number Detail

NPI Number 1336275064
Provider Enumeration Date 2007-02-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 703 W Canal St
City Picayune
State Mississippi (MS)
Post Code 394663918
Phone Number 6017499477
Fax Number 6018891265

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Licence No C6126
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
124843 MS --

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FAQs about Deslie Bonano, Lcsw, Bcd

What is the unique 10-digit identifier code assigned to Deslie Bonano, Lcsw, Bcd by the Centers for Medicare & Medicaid Services?

The Deslie Bonano, Lcsw, Bcd has been issued the NPI (National Provider Identifier) 1336275064 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Deslie Bonano, Lcsw, Bcd's facilities are situated?

The facilities of Deslie Bonano, Lcsw, Bcd are physically located at the following address: 703 W Canal St, Picayune, MS, 394663918.

What is Deslie Bonano, Lcsw, Bcd's area of expertise and its corresponding taxonomy classification?

The Deslie Bonano, Lcsw, Bcd's field of specialization is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Deslie Bonano, Lcsw, Bcd receive its 1336275064 assignment from the Centers for Medicare & Medicaid Services?

The Deslie Bonano, Lcsw, Bcd was assigned its 1336275064 on 2007-02-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Deslie Bonano, Lcsw, Bcd's information last updated?

The Deslie Bonano, Lcsw, Bcd's information was last updated on 2020-08-22.

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