Wesley Physician Services Llc

Counselor Clinic

5001 Hardy St, Hattiesburg
    Mississippi, 39402-1308

 601-268-8155    601-261-0508 Maps & Directions
Wesley Physician Services Llc is a Counselor Clinic in Hattiesburg, Mississippi. It is located at 5001 Hardy St, Hattiesburg, MS and its contact number is 601-268-8155. The authorized person for Wesley Physician Services Llc is Jennifer L Jackson who is Senior Director Provider Enrollment of the clinic and his/her contact number is 615-465-7000.
Wesley Physician Services Llc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Wesley Physician Services Llc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Wesley Physician Services Llc
Specialization: Professional Counselor
Clinic Address:5001 Hardy St, Hattiesburg,
Mississippi, 39402-1308
Phone:601-268-8155
Fax:601-261-0508
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Jennifer L Jackson
Position: Senior Director Provider Enrollment
Contact Number: 615-465-7000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Wesley Physician Services Llc clinic are as mentioned below.
NPI Number: 1538200209
NPI Enumeration Date: 08 Feb, 2007
NPI Last Update On: 03 Jun, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wesley Physician Services Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Family Medicine Primary
Professional Secondary
Psychologist Secondary
Social Worker Secondary
Clinical Secondary
Addiction Medicine Secondary
Internal Medicine Secondary
Cardiovascular Disease Secondary
Interventional Cardiology Secondary
Neurological Surgery Secondary
Nuclear Cardiology Secondary
Pediatrics Secondary
Adolescent Medicine Secondary
Forensic Psychiatry Secondary
Thoracic Surgery (cardiothoracic Vascular Surgery) Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
06476518MedicaidMississippi
01726273MedicaidMississippi
02639565MedicaidMississippi
02706278MedicaidMississippi
08883556MedicaidMississippi
02606764MedicaidMississippi
06827312MedicaidMississippi
07236720MedicaidMississippi
09776308MedicaidMississippi
05925779MedicaidMississippi
03277572MedicaidMississippi
04727870MedicaidMississippi
01505019MedicaidMississippi
08955318MedicaidMississippi
01080271MedicaidMississippi
07687071MedicaidMississippi
09236762MedicaidMississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Wesley Physician Services Llc
Po Box 689022,
Franklin, Tennessee
Zip: 37068-9022
Phone Number: 615-465-7361
Fax Number: 615-628-6877
Patients can reach Wesley Physician Services Llc at 5001 Hardy St, Hattiesburg, Mississippi or can call to book an appointment on 601-268-8155.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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