| Behavioral Health Services Of Meridian | |
|
3701 8th St Ste B Meridian MS 39307-6083 | |
| (601) 686-6500 | |
| Not Available |
| Full Name | Behavioral Health Services Of Meridian |
|---|---|
| Speciality | Clinic/Center |
| Location | 3701 8th St Ste B, Meridian, Mississippi |
| Authorized Official Name and Position | Courtney Bennett (CEO) |
| Authorized Official Contact | 6016866500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Of Meridian 1833 Frank Mcdaniels Rd De Kalb MS 39328-6622 Ph: (601) 686-6500 | Behavioral Health Services Of Meridian 3701 8th St Ste B Meridian MS 39307-6083 Ph: (601) 686-6500 |
| NPI Number | 1538802913 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Medicare PECOS PAC ID | 5597130534 |
|---|---|
| Medicare Enrollment ID | O20230405001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538802913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Courtney Anita Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336486422 PECOS PAC ID: 5496997371 Enrollment ID: I20130805000842 |
| Provider Name | Comanechi Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790303816 PECOS PAC ID: 9638587603 Enrollment ID: I20230602002723 |
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