Healthcare Provider Details

I. General information

NPI: 1104784255
Provider Name (Legal Business Name): THE WILLOWS BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 N 2ND AVE
LAUREL MS
39440-3563
US

IV. Provider business mailing address

PO BOX 6558
LAUREL MS
39441-6558
US

V. Phone/Fax

Practice location:
  • Phone: 601-319-4810
  • Fax:
Mailing address:
  • Phone: 601-452-0308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH STEVERSON
Title or Position: OWNER
Credential:
Phone: 601-452-0308