Msu Behavioral Health | |
223 Famous Maroon Band Street Mississippi State MS 39762 | |
(662) 325-0621 | |
(662) 325-0895 |
Full Name | Msu Behavioral Health |
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Speciality | Counselor - Mental Health |
Location | 223 Famous Maroon Band Street, Mississippi State, Mississippi |
Authorized Official Name and Position | Mary Grace (CLINIC MANAGER) |
Authorized Official Contact | 6623250621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Msu Behavioral Health Po Box 6124 Mississippi State MS 39762-6124 Ph: (662) 325-0621 | Msu Behavioral Health 223 Famous Maroon Band Street Mississippi State MS 39762 Ph: (662) 325-0621 |
NPI Number | 1518747567 |
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Provider Enumeration Date | 10/05/2023 |
Last Update Date | 02/19/2025 |
Certification Date | 02/17/2025 |
Identifier | Type | State | Issuer |
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1518747567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |