| Children's Psychiatric Clinic | |
|
3531 Lakeland Dr Ste 1052 Flowood MS 39232-8016 | |
| (601) 829-4170 | |
| Not Available |
| Full Name | Children's Psychiatric Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 3531 Lakeland Dr Ste 1052, Flowood, Mississippi |
| Authorized Official Name and Position | John E Wilkaitis (OWNER) |
| Authorized Official Contact | 6018294170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Psychiatric Clinic 3531 Lakeland Dr Ste 1052 Flowood MS 39232-8016 Ph: (601) 982-8531 | Children's Psychiatric Clinic 3531 Lakeland Dr Ste 1052 Flowood MS 39232-8016 Ph: (601) 829-4170 |
| NPI Number | 1891136818 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891136818 | NPI | - | NPPES |
| 03932074 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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