| Psycamore, Llc | |
|
7165 Getwell Rd Building 3, Suite 1 & 2 Southaven MS 38672-9659 | |
| (800) 779-2448 | |
| (601) 993-5935 |
| Full Name | Psycamore, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7165 Getwell Rd, Southaven, Mississippi |
| Authorized Official Name and Position | Kimberly Lichte-madakasira (VICE-PRESIDENT) |
| Authorized Official Contact | 6019395993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycamore, Llc 2540 Flowood Dr Flowood MS 39232-9362 Ph: (601) 939-5993 | Psycamore, Llc 7165 Getwell Rd Building 3, Suite 1 & 2 Southaven MS 38672-9659 Ph: (800) 779-2448 |
| NPI Number | 1043465040 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 11/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043465040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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