| South Mississippi Regional Center | |
|
1170 W Railroad St Long Beach MS 39560-4106 | |
| (228) 867-1348 | |
| (228) 214-5563 |
| Full Name | South Mississippi Regional Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1170 W Railroad St, Long Beach, Mississippi |
| Authorized Official Name and Position | Joanna Whaley (BENEFIT SPECIALIST) |
| Authorized Official Contact | 2288671348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Mississippi Regional Center 1170 W Railroad St Long Beach MS 39560-4106 Ph: (228) 867-1348 | South Mississippi Regional Center 1170 W Railroad St Long Beach MS 39560-4106 Ph: (228) 867-1348 |
| NPI Number | 1629392774 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629392774 | NPI | - | NPPES |
| 09555710 | Other | MS | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 311 (Mississippi) | Primary |
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Relationship Couch, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4011 Beatline Rd Ste 4, Long Beach, MS 39560 Phone: 662-205-8130 |