Nulife Health Care Llc - Medicare Mental Health Clinic in Vicksburg, MS

Nulife Health Care Llc is a medicare enrolled mental health clinic (Clinic/center) in Vicksburg, Mississippi. The current practice location for Nulife Health Care Llc is 120 Holt Collier Dr Ste C, Vicksburg, Mississippi. For appointments, you can reach them via phone at (601) 738-5565. The mailing address for Nulife Health Care Llc is 120 Holt Collier Dr Ste C, Vicksburg, Mississippi and phone number is (601) 738-5565.

Nulife Health Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316616626. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 738-5565.

Contact Information

Nulife Health Care Llc
120 Holt Collier Dr Ste C
Vicksburg
MS 39183-4408
(601) 738-5565
(601) 738-5544

Mental Health Clinic Profile

Full NameNulife Health Care Llc
SpecialityClinic/Center
Location120 Holt Collier Dr Ste C, Vicksburg, Mississippi
Authorized Official Name and PositionStacy Flowers (MANAGER)
Authorized Official Contact6015972362
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nulife Health Care Llc
120 Holt Collier Dr Ste C
Vicksburg
MS 39183-4408

Ph: (601) 738-5565
Nulife Health Care Llc
120 Holt Collier Dr Ste C
Vicksburg
MS 39183-4408

Ph: (601) 738-5565

NPI Details:

NPI Number1316616626
Provider Enumeration Date09/09/2021
Last Update Date02/25/2022
Certification Date02/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6901291392
Medicare Enrollment IDO20220322001492

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Medical Identifiers

Medical identifiers for Nulife Health Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316616626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
253Z00000XIn Home Supportive Care (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Primary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary
385H00000XRespite Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Nulife Health Care Llc acts as a billing entity for following providers:
Provider NameStacy Flowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629272596
PECOS PAC ID: 0840495214
Enrollment ID: I20220322001639

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Clinic/Center in Vicksburg, MS

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Medicare: Medicare Enrolled
Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180
Phone: 601-638-0031    Fax: 601-634-0234
The Peace Place Counseling Services
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Medicare: Not Enrolled in Medicare
Practice Location: 1301 Holly St, Vicksburg, MS 39180
Phone: 601-630-3362    Fax: 855-540-0718
Divine Home Care Changes
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 106 Ethel Dr, Vicksburg, MS 39180
Phone: 919-339-1854    
Nulife Healthcare, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 120 Holt Collier Dr Ste C, Vicksburg, MS 39183
Phone: 601-738-5565    Fax: 601-738-5544
Cognitive Development Center Of Mississippi
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1713 Clay St, Vicksburg, MS 39183
Phone: 601-883-1771    Fax: 601-883-1773
Gateway Health Services
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Medicare: Medicare Enrolled
Practice Location: 2705 Clay St, Vicksburg, MS 39183
Phone: 601-661-9752    Fax: 601-661-6021

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