Illuminated Direction
NPI #1679184980 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1679184980
- Entity Type
- Organization
- Organization Name
- Illuminated Direction
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 11, 2020
- Last Updated
- Jan 8, 2021
Practice Location
- Address
- 1903 PASS RD
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39531-4119
- Phone
- (228) 209-9482
Authorized Official
- Name
- MR. JONATHAN LACEWELL
- Title
- OWNER
- Phone
- (919) 450-6446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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