| Region One Mental Health Center | |
|
1742 Cheryl St Clarksdale MS 38614-7218 | |
| (662) 627-7267 | |
| (662) 627-5240 |
| Full Name | Region One Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1742 Cheryl St, Clarksdale, Mississippi |
| Authorized Official Name and Position | Dalynda L Gaston (BILLING CLERK) |
| Authorized Official Contact | 6626277267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Region One Mental Health Center Po Box 1046 Clarksdale MS 38614-1046 Ph: (662) 627-7267 | Region One Mental Health Center 1742 Cheryl St Clarksdale MS 38614-7218 Ph: (662) 627-7267 |
| NPI Number | 1568052090 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568052090 | NPI | - | NPPES |
| 00018201 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Delta Compassionate Care Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Brentwood Cv, Clarksdale, MS 38614 Phone: 662-645-7940 | |
Region One Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1742 Cheryl St, Clarksdale, MS 38614 Phone: 662-627-7267 Fax: 662-627-5240 | |
Ancor Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Desoto Ave, Clarksdale, MS 38614 Phone: 662-627-5317 |