Provider Demographics
NPI:1407136708
Name:THERAPY STAFF SOLUTIONS
Entity Type:Organization
Organization Name:THERAPY STAFF SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STAFFING SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-714-2820
Mailing Address - Street 1:1060 E COUNTY LINE RD
Mailing Address - Street 2:SUITE 3A-201
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-4402
Mailing Address - Country:US
Mailing Address - Phone:601-714-2820
Mailing Address - Fax:210-587-6529
Practice Address - Street 1:1311 W PEARL ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39203-2841
Practice Address - Country:US
Practice Address - Phone:601-960-5329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-18
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR857627261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00783551OtherMEDICAID