| Magnolia Regional Behavioral Health Services | |
|
611 Alcorn Dr Corinth MS 38834-9321 | |
| (662) 293-1000 | |
| Not Available |
| Full Name | Magnolia Regional Behavioral Health Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 611 Alcorn Dr, Corinth, Mississippi |
| Authorized Official Name and Position | Howard Nelson (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 6622937618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Regional Behavioral Health Services 401 Alcorn Dr Ste 2c Corinth MS 38834-9073 Ph: (662) 293-7618 | Magnolia Regional Behavioral Health Services 611 Alcorn Dr Corinth MS 38834-9321 Ph: (662) 293-1000 |
| NPI Number | 1033656889 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 3375820541 |
|---|---|
| Medicare Enrollment ID | O20170426001927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033656889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jim Pang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780690230 PECOS PAC ID: 2769459338 Enrollment ID: I20040928000888 |
| Provider Name | Tejinder S Saini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487708079 PECOS PAC ID: 5294621199 Enrollment ID: I20041006000693 |
| Provider Name | Hazel M. Hendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376579599 PECOS PAC ID: 5597768499 Enrollment ID: I20060815000232 |
| Provider Name | Amanda L Ham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912220237 PECOS PAC ID: 2163601006 Enrollment ID: I20110125000699 |
| Provider Name | Teresa Darlene Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437406485 PECOS PAC ID: 4880849801 Enrollment ID: I20150423000113 |
| Provider Name | Katelyn Lee Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760902712 PECOS PAC ID: 2769756717 Enrollment ID: I20170914002893 |
| Provider Name | Derrick Meadow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992338719 PECOS PAC ID: 3274962360 Enrollment ID: I20210527000483 |
| Provider Name | Bailey Lea Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194393603 PECOS PAC ID: 1456752195 Enrollment ID: I20210701001037 |
Region Iv Outpatient Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Cass St, Corinth, MS 38834 Phone: 662-286-9860 Fax: 662-286-8095 | |
Crossroads Counseling And Play Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Waldron St Ste B, Corinth, MS 38834 Phone: 662-396-1167 Fax: 662-260-7106 | |
Be Well Therapeutics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Bridle Path, Corinth, MS 38834 Phone: 662-415-2553 | |
Region Iv Mental Health Services-nfusion Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Highway 72 E Anx, Corinth, MS 38834 Phone: 662-286-2152 Fax: 662-287-2070 | |
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