MEDICARE: MAITRI MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1093662447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAITRI MENTAL HEALTH

Provider Business Mailing Address
First Line	:	3670 GROVELAND RD STE A
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5768
Country	:	US
Telephone Number	:	228-365-3191
Fax Number	:	228-875-9065

Provider Business Practice Location Address
First Line	:	3670 GROVELAND RD STE A
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5768
Country	:	US
Telephone Number	:	228-365-3191
Fax Number	:	228-875-9065

Authorized Official
Title or Position	:	OWNER
Name	:	MOIRA ANDERSON
Credential	:	LCSW
Telephone Number	:	228-365-3191

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “MAITRI MENTAL HEALTH ” Practice Location

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