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NPI 1457296899

NPI 1457296899 : GOREE PSYCHIATRIC SERVICES, LLC : FLOWOOD, MS

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General NPI Number Information
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    NPI Number           |    1457296899
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOREE PSYCHIATRIC SERVICES, LLC 
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Dates
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    Enumeration Date     |    04/22/2026
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    Last Update Date     |    04/22/2026
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Provider Practice Location Address
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    Address Line         |    10 CANEBRAKE BLVD STE 110 
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    City                 |    FLOWOOD
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    State                |    MS
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    Zip                  |    39232-2212
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    Country              |    US
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    Telephone            |    601-236-8380
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    270 TRACE COLONY PARK DR STE B 
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    City                 |    RIDGELAND
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    State                |    MS
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    Zip                  |    39157-8810
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PSYCHIATRIST
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    Name                 |    DR. SANTRISE  GOREE 
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    Credential           |    MD
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    Telephone            |    601-260-9867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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