| Sw Ms Mental Health Mental Retardation Commission | |
|
1701 White St Mccomb MS 39648 | |
| (601) 684-2173 | |
| (601) 249-4234 |
| Full Name | Sw Ms Mental Health Mental Retardation Commission |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1701 White St, Mccomb, Mississippi |
| Authorized Official Name and Position | Montavia Dorsey (CREDENTIALING MGR) |
| Authorized Official Contact | 6012494235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sw Ms Mental Health Mental Retardation Commission Po Box 768 1701 White St Mccomb MS 39649 Ph: (601) 684-2173 | Sw Ms Mental Health Mental Retardation Commission 1701 White St Mccomb MS 39648 Ph: (601) 684-2173 |
| NPI Number | 1184662694 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184662694 | NPI | - | NPPES |
| 00018211 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Drlullaby, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1102a Delaware Ave, Mccomb, MS 39648 Phone: 844-475-3379 | |
Mccomb Neurology, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N Broadway, 2nd Floor, Mccomb, MS 39648 Phone: 601-249-2491 Fax: 601-249-2885 | |
Pathways Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1301b Harrison Ave, Mccomb, MS 39648 Phone: 601-600-2429 Fax: 601-600-2428 | |
Chris M Huff Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 Delaware Ave, Mccomb, MS 39648 Phone: 601-209-6345 Fax: 601-835-3342 | |
Stephanie Spears, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Dr Ste 900, Mccomb, MS 39648 Phone: 601-730-4401 | |
Mccomb School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Elmwood St, Mccomb, MS 39648 Phone: 601-249-5138 |