| Magnolia Psychiatric Services Pllc | |
|
1265 Cliff Gookin Blvd Tupelo MS 38801-6749 | |
| (662) 223-3737 | |
| (601) 429-9294 |
| Full Name | Magnolia Psychiatric Services Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1265 Cliff Gookin Blvd, Tupelo, Mississippi |
| Authorized Official Name and Position | Jason Cody Pickett (PHYSICIAN) |
| Authorized Official Contact | 6622233737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Psychiatric Services Pllc 1265 Cliff Gookin Blvd Tupelo MS 38801-6749 Ph: (662) 223-3737 | Magnolia Psychiatric Services Pllc 1265 Cliff Gookin Blvd Tupelo MS 38801-6749 Ph: (662) 223-3737 |
| NPI Number | 1740038181 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740038181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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