Provider Demographics
NPI:1639867658
Name:CENTERED CARE AND WELLNESS
Entity Type:Organization
Organization Name:CENTERED CARE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, PMHNP
Authorized Official - Phone:601-249-6114
Mailing Address - Street 1:1023 TOWNSEND CIR
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-7516
Mailing Address - Country:US
Mailing Address - Phone:601-250-5119
Mailing Address - Fax:
Practice Address - Street 1:1023 TOWNSEND CIR
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-7516
Practice Address - Country:US
Practice Address - Phone:601-249-6114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty