| Boudreaux Mental Health Services | |
|
98 Burnham Rd Suite A Brandon MS 39042-2759 | |
| (601) 664-0204 | |
| Not Available |
| Full Name | Boudreaux Mental Health Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 98 Burnham Rd, Brandon, Mississippi |
| Authorized Official Name and Position | Kathleen Marie Foley (OWNER) |
| Authorized Official Contact | 6016161439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boudreaux Mental Health Services 98 Burnham Rd Suite A Brandon MS 39042-2759 Ph: (601) 664-0204 | Boudreaux Mental Health Services 98 Burnham Rd Suite A Brandon MS 39042-2759 Ph: (601) 664-0204 |
| NPI Number | 1154580579 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154580579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | R850842 (Mississippi) | Primary |
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