Mick Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MICK INC.

Practice address

334 Josanna Street
Suite #209
Jackson, MS 39202

Phone

(601) 974-6085

Fax

(601) 974-6099

NPI assigned

Mar 3, 2010

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Grace

Title

Manager

Phone

(601) 974-6085

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1477876530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 JOSANNA STREET",
            "address_2": "SUITE #209",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-974-6085",
            "fax_number": "601-974-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 JOSANNA STREET",
            "address_2": "SUITE #209",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-974-6085",
            "fax_number": "601-974-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-974-6085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conesha Michael, MT
• Michelle Buckner Counseling
• Michelle J. Gibson, MD PLLC (The Kidz Care Klinic)
• Alexander Michelletti
• Meeta Shah Michener, M.D.
• Ericka M Micou, NP
• Mid Jackson Family Health Clinic
• Mid Jackson Family Health Clinic
• Mid South Dental Center of Jackson
• Mid State Artificial Limb Co, Inc

• Case Management Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Case Management Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.