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General NPI Number Information
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NPI Number | 1083980684
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Entity Type | Organization
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Legal Business Name | REGION TEN COMMISSION ON MENTAL HEALTH
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1929 23RD AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-3108
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Country | US
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Telephone | 601-482-7377
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2868
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City | MERIDIAN
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State | MS
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Zip | 39302-2868
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Country | US
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Telephone | 601-482-7377
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | OLIVIA BLOUNT
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Credential |
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Telephone | 601-483-4821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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