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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1306242458 NPPES
Mississippi MEDICAID 05671221

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