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General NPI Number Information
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NPI Number | 1699564419
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Entity Type | Organization
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Legal Business Name | SOUTH MISSISSIPPI MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 4211 HOSPITAL ST
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City | PASCAGOULA
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State | MS
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Zip | 39581-5320
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Country | US
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Telephone | 228-497-0690
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1307
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City | PASCAGOULA
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State | MS
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Zip | 39568-1307
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Country | US
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Telephone | 228-283-4140
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH DIRECTOR
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Name | JOSEPH MANUEL
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Credential |
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Telephone | 228-769-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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