| Delta Community Mental Health Services | |
|
113a S Davis Ave Cleveland MS 38732-3447 | |
| (662) 843-9445 | |
| (662) 843-9447 |
| Full Name | Delta Community Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 113a S Davis Ave, Cleveland, Mississippi |
| Authorized Official Name and Position | Gilbert Macvaugh (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6623355274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Community Mental Health Services 113a S Davis Ave Cleveland MS 38732-3447 Ph: (662) 843-9445 | Delta Community Mental Health Services 113a S Davis Ave Cleveland MS 38732-3447 Ph: (662) 843-9445 |
| NPI Number | 1184741100 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184741100 | NPI | - | NPPES |
| 00018205 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16335 (Mississippi) | Primary |
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L & A Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 S Davis Ave, Cleveland, MS 38732 Phone: 662-402-0119 | |
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New Perspective Counseling And Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140b North St, Cleveland, MS 38732 Phone: 662-545-1234 |