| Region Iv Mental Health Services | |
|
2100 East Chambers Drive Booneville MS 38829-2100 | |
| (662) 728-3174 | |
| (662) 728-3175 |
| Full Name | Region Iv Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2100 East Chambers Drive, Booneville, Mississippi |
| Authorized Official Name and Position | Charlie D Spearman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6622869883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Region Iv Mental Health Services Po Box 839 Corinth MS 38835-0839 Ph: (662) 286-9883 | Region Iv Mental Health Services 2100 East Chambers Drive Booneville MS 38829-2100 Ph: (662) 728-3174 |
| NPI Number | 1568682862 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568682862 | NPI | - | NPPES |
| 00018204 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Region Iv Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301c East Chambers Dr, Booneville, MS 38829 Phone: 662-720-4816 Fax: 662-720-4832 | |
Baptist Memorial Hospital-booneville, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 Hospital St, Booneville, MS 38829 Phone: 662-720-5004 | |
Region Iv Mental Health Services-prentiss County Children's Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 E Chambers Dr, Booneville, MS 38829 Phone: 662-728-3137 Fax: 662-728-6688 |