Massey, Philip
Massey, Philip is an individual health care provider with primary practice located at 5345 Highway 18 W , Jackson MS 39209-9421. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Massey, Philip can be contacted via phone (601) 927-0188.Contact Information
Primary practice address
5345 Highway 18 W
Jackson MS 39209-9421
Phone: (601) 927-0188
Fax: (601) 292-7998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M7217 | Mississippi |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | AD07-046M | Mississippi |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C7217 | Mississippi |
Profile Details
| NPI number | 1306242458 |
|---|---|
| LBN Legal business name | Massey, Philip |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2014 |
| Last updated | Sep 11th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306242458 | NPPES |
| Mississippi | MEDICAID | 05671221 |
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