Elite Psychiatric Services Pllc | |
357 Towne Center Pl Ste 400 Ridgeland MS 39157-4844 | |
(888) 561-3380 | |
(888) 732-6141 |
Full Name | Elite Psychiatric Services Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 357 Towne Center Pl Ste 400, Ridgeland, Mississippi |
Authorized Official Name and Position | Shakevia Johnson (OWNER/PSYCHIATRIST) |
Authorized Official Contact | 6623921669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Psychiatric Services Pllc 1835 County Road 71 Mc Carley MS 38943-9305 Ph: (662) 392-1669 | Elite Psychiatric Services Pllc 357 Towne Center Pl Ste 400 Ridgeland MS 39157-4844 Ph: (888) 561-3380 |
NPI Number | 1467155697 |
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Provider Enumeration Date | 03/27/2023 |
Last Update Date | 03/27/2023 |
Certification Date | 03/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467155697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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