Iconic Mind
NPI #1801430590 in Madison, Mississippi
Provider Information
- NPI Number
- 1801430590
- Entity Type
- Organization
- Organization Name
- Iconic Mind
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Nov 5, 2019
- Last Updated
- Jan 4, 2021
Practice Location
- Address
- 102 CRABAPPLE GRV
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-7098
- Phone
- (601) 918-8041
Authorized Official
- Name
- MISS KIMBERLY MICHELLE HORTON, LCSW
- Title
- OWNER
- Phone
- (601) 918-8041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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