BUTTERFLY AFFECT
NPI 1831795095
Clinic/Center - Adolescent and Children Mental Health in Jackson, MS
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
About BUTTERFLY AFFECT
This page provides the complete NPI Profile along with additional information for Butterfly Affect, a provider established in Jackson, Mississippi operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1831795095 assigned on December 2020. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jennifer Green (Member)
- NPI
- 1831795095 Verify this NPI
- Provider Name
- BUTTERFLY AFFECT
- Entity Type
- Organization
- Location Address
- 4915 I 55 N FRONTAGE RD STE C 305 JACKSON, MS 39205
- Location Phone
- (769) 226-6232
- Mailing Address
- PO BOX 59053 JACKSON, MS 39284
- Mailing Phone
- (769) 226-6232
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-11-2020
- Last Update Date
- 12-11-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00754701 | MEDICAID (05) | MS |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831795095, enumerated as an "organization" on December 11, 2020.
The provider is located at 4915 I 55 N FRONTAGE RD STE C 305 JACKSON, MS 39205 and the phone number is (769) 226-6232.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
