Healthcare Provider Details

I. General information

NPI: 1881560431
Provider Name (Legal Business Name): SOUTH MISSISSIPPI BEHAVIORAL MEDICINE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10189 LAKE FOREST DR
OCEAN SPRINGS MS
39565-2010
US

IV. Provider business mailing address

10189 LAKE FOREST DR
OCEAN SPRINGS MS
39565-2010
US

V. Phone/Fax

Practice location:
  • Phone: 228-238-4095
  • Fax:
Mailing address:
  • Phone: 228-238-4095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD WAYNE ALEXANDER JR.
Title or Position: PSYCHOLOGIST/OWNER
Credential: PHD, DBSM
Phone: 228-238-4095