NPI 1215705256
Becoming Undone Therapy Services LLC
Practice location
- Address
- 4010 Oferral St STE 209, Hattiesburg, MS 39402-1613
- Phone
- (601) 463-8418
- Mailing address
- 4208 Highway 8 E, Okolona, MS 38860-9390
Authorised official
- Name
- Shania Barr
- Title
- Owner
- Phone
- (601) 447-2321
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1215705256
- Entity type
- Organization
- NPI issued
- 19 Dec 2023
- Record last updated
- 19 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.