Healthcare Provider Details

I. General information

NPI: 1457296899
Provider Name (Legal Business Name): GOREE PSYCHIATRIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CANEBRAKE BLVD STE 110
FLOWOOD MS
39232-2212
US

IV. Provider business mailing address

270 TRACE COLONY PARK DR STE B
RIDGELAND MS
39157-8810
US

V. Phone/Fax

Practice location:
  • Phone: 601-236-8380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SANTRISE GOREE
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 601-260-9867