| Delta Community Mental Health Services | |
|
317 W Race St Rolling Fork MS 39159-2623 | |
| (662) 873-6228 | |
| (662) 873-2244 |
| Full Name | Delta Community Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 317 W Race St, Rolling Fork, Mississippi |
| Authorized Official Name and Position | Gilbert Macvaugh (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6623355274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Community Mental Health Services 317 W Race St Rolling Fork MS 39159-2623 Ph: (662) 873-6228 | Delta Community Mental Health Services 317 W Race St Rolling Fork MS 39159-2623 Ph: (662) 873-6228 |
| NPI Number | 1942327515 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942327515 | NPI | - | NPPES |
| 00018205 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16335 (Mississippi) | Primary |
Mended Hearts Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Parkway Ave, Rolling Fork, MS 39159 Phone: 662-347-9999 |