| Kattrina Roach | |
|
1622 Montys Cir Southaven MS 38672-8547 | |
| (662) 404-1134 | |
| Not Available |
| Full Name | Kattrina Roach |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1622 Montys Cir, Southaven, Mississippi |
| Authorized Official Name and Position | Kattrina Miller Roach (OWNER) |
| Authorized Official Contact | 6624041134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kattrina Roach 1622 Montys Cir Southaven MS 38672-8547 Ph: (662) 404-1134 | Kattrina Roach 1622 Montys Cir Southaven MS 38672-8547 Ph: (662) 404-1134 |
| NPI Number | 1578937199 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578937199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2041 (Mississippi) | Primary |
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