Jireh Therapeutics LLC
Organization Active NPI Clinical Social Worker · Jacksn, MS
NPI 1134820095 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1134820095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- JIREH THERAPEUTICS LLC
- Practice address
- 5471 River Thames Place
Jacksn, MS 39211 - Phone
- (601) 566-5007
- NPI assigned
- Mar 16, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- JIREH THERAPEUTICS LLC
Authorized official
- Name
- Ms. Korlynn Trice, MHA
- Title
- Director of Billing
- Phone
- (601) 624-5912
National Provider Directory
- Part of
- Jireh Therapeutics LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
5471 River Thames Place
Jacksn, MS 39211
Mailing address
5471 River Thames Place
Jacksn, MS 39211
Phone (601) 566-5007
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.