| Sw Ms Mental Health Region Xi | |
|
1701 White St Mccomb MS 39648-2711 | |
| (601) 684-2173 | |
| (601) 249-4234 |
| Full Name | Sw Ms Mental Health Region Xi |
|---|---|
| Speciality | Social Worker |
| Location | 1701 White St, Mccomb, Mississippi |
| Authorized Official Name and Position | James Steven Ellis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6016842173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sw Ms Mental Health Region Xi Po Box 768 Mccomb MS 39649-0768 Ph: (601) 684-2173 | Sw Ms Mental Health Region Xi 1701 White St Mccomb MS 39648-2711 Ph: (601) 684-2173 |
| NPI Number | 1366694820 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 06/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366694820 | NPI | - | NPPES |
| 00018211 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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Sw Ms Mental Health Mental Retardation Commission Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234 | |
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