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NPI Code Detail

MEDICARE: HINDS COUNTY MENTAL HEALTH

MEDICARE: HINDS COUNTY 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)R09-1(A)MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205853652
Entity Type Code : Organization
Provider Name (Legal Business Name) : HINDS COUNTY MENTAL HEALTH
Provider Business Mailing Address
First Line : PO BOX 7777
Second Line :
City : JACKSON
State : MS
Zip : 39284-7777
Country : US
Telephone Number : 601-321-2400
Fax Number : 601-321-2476
Provider Business Practice Location Address
First Line : 3450 HIGHWAY 80 W
Second Line :
City : JACKSON
State : MS
Zip : 39209-7201
Country : US
Telephone Number : 601-321-2400
Fax Number : 601-321-2476
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MARGARET L HARRIS
Credential :
Telephone Number : 601-321-2400
Provider Enumeration Date : 07/15/2006
Last Update Date : 11/16/2012

Similar Medicare Providers

1194331108 — JASMINE HAYES TAYLOR CMHT
Practice Location Address:
3450 HIGHWAY 80 W
JACKSON, MS
39209-7201
Practice Phone: 601-321-2400
Practice Fax:
1164468468 — DR. JEFFREY ASGAR ALI M.D.
Practice Location Address:
3450 HIGHWAY 80 W
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Practice Phone: 601-321-2400
Practice Fax: 601-985-5174
1689766958 — MR. STUART DAVID MILAN NURSE PRACTITIONER
Practice Location Address:
3450 HIGHWAY 80 W
JACKSON, MS
39209-7201
Practice Phone: 601-321-2400
Practice Fax: 601-985-5174
1285815613 — BELINDA MICHELLE EDWARDS FPMHNP
Practice Location Address:
3450 HIGHWAY 80 W
JACKSON, MS
39209-7201
Practice Phone: 601-321-2400
Practice Fax: 601-321-2476
1619103959 — TISSAN TILDEN JACKSON LCSW
Practice Location Address:
3450 HIGHWAY 80 W
JACKSON, MS
39209-7201
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Practice Fax: 601-985-5174
1770716508 — THOMAS PRUDE PCMHT
Practice Location Address:
3450 HIGHWAY 80 W
JACKSON, MS
39209-7201
Practice Phone: 601-321-2400
Practice Fax:

Directions to “HINDS COUNTY MENTAL HEALTH ” Practice Location

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