| Psycamore Psychiatric Programs, Llc | |
|
28 Glenwood Place Ste B Columbus MS 39705 | |
| (601) 939-5993 | |
| (601) 939-5935 |
| Full Name | Psycamore Psychiatric Programs, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 28 Glenwood Place, Columbus, Mississippi |
| Authorized Official Name and Position | Tina Mcmanus (BILLING AND CREDENTIALING MANAGER) |
| Authorized Official Contact | 6019395993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycamore Psychiatric Programs, Llc 2540 Flowood Drive Flowood MS 39232 Ph: (601) 939-5993 | Psycamore Psychiatric Programs, Llc 28 Glenwood Place Ste B Columbus MS 39705 Ph: (601) 939-5993 |
| NPI Number | 1215751300 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215751300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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