| Northeast Ms Community Mental Health Center | |
|
2533 Main St Plantersville MS 38862-7907 | |
| (662) 840-0196 | |
| (662) 840-0198 |
| Full Name | Northeast Ms Community Mental Health Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2533 Main St, Plantersville, Mississippi |
| Authorized Official Name and Position | Ray L Shoemaker (CEO / OWNER) |
| Authorized Official Contact | 6623211155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Ms Community Mental Health Center 431 W Main St Suite 410 Tupelo MS 38804-3817 Ph: (662) 840-0196 | Northeast Ms Community Mental Health Center 2533 Main St Plantersville MS 38862-7907 Ph: (662) 840-0196 |
| NPI Number | 1235445438 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235445438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Rural Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Main Street, Plantersville, MS 38862 Phone: 662-844-3451 | |
Rural Healthcare Developers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2533 Main St, Plantersville, MS 38862 Phone: 662-840-0196 Fax: 662-840-0198 | |
Rural Healthcare Developers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2554 Main St, Plantersville, MS 38862 Phone: 662-844-3451 |