| Diamond Grove Center | |
|
2311 Highway 15 S Louisville MS 39339-7071 | |
| (662) 779-0119 | |
| (662) 779-0126 |
| Full Name | Diamond Grove Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2311 Highway 15 S, Louisville, Mississippi |
| Authorized Official Name and Position | Brenda Smith (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 6015819906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Grove Center Po Box 848 Louisville MS 39339-0848 Ph: (662) 779-0119 | Diamond Grove Center 2311 Highway 15 S Louisville MS 39339-7071 Ph: (662) 779-0119 |
| NPI Number | 1770617086 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770617086 | NPI | - | NPPES |
| 00220411 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Co-med Adult Day Care Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3249 N Church Ave, Louisville, MS 39339 Phone: 662-773-7066 Fax: 662-773-2677 | |
Region Seven Mental Health Idd Commission Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16220 W Main St, Louisville, MS 39339 Phone: 662-773-9377 Fax: 662-773-9025 | |
Winston County Medical Foundation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 562 E Main St, Louisville, MS 39339 Phone: 662-773-6211 Fax: 662-773-6223 |