Whalio Doctors

NPI 1033743570

Mary Herschel Thames, LCSW

Practitioner Clinical Social Worker Ridgeland, MS

Practice location

Address
1000 Highland Colony Pkwy, Ridgeland, MS 39157-2073
Phone
(601) 715-0560
Mailing address
1000 Highland Colony Pkwy STE 8201, Ridgeland, MS 39157-2073

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C5948 (MS)

Registry record

NPI
1033743570
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Feb 2020
Record last updated
24 Feb 2020

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.