Healthcare Provider Details

I. General information

NPI: 1922920586
Provider Name (Legal Business Name): CLICK FORWARD BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4377 JOHN WOOD LN
OLIVE BRANCH MS
38654-9836
US

IV. Provider business mailing address

4377 JOHN WOOD LN
OLIVE BRANCH MS
38654-9836
US

V. Phone/Fax

Practice location:
  • Phone: 662-782-8428
  • Fax:
Mailing address:
  • Phone: 662-782-8428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. Y'ESHA WILLIAMS-CLICK
Title or Position: MANAGING MEMBER
Credential: PHD, DNP, PMHNP-BC
Phone: 662-782-8428