Wood, Anthony Jerome

Wood, Anthony Jerome is an sole proprietor health care provider with primary practice located at 8626 Airways Blvd , Southaven MS 38671-2603. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Clinic/Center, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wood, Anthony Jerome can be contacted via phone (662) 772-5937.

Contact Information

Primary practice address
8626 Airways Blvd Southaven MS 38671-2603
Phone: (662) 772-5937
Fax: (662) 772-5940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1326 Mississippi
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 1326 Mississippi

Profile Details

NPI number 1215253620
LBN Legal business name Wood, Anthony Jerome
Credentials NCC, LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2010
Last updated Feb 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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