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1891051579 NPI number — REGION TEN COMMISSION ON MENTAL HEALTH

NPI Number: 1891051579
Health Care Provider/Practitioner: REGION TEN COMMISSION ON MENTAL HEALTH

Information about “1891051579” NPI (REGION TEN COMMISSION ON MENTAL HEALTH) exists in 1891051579 in HTML format HTML  |  1891051579 in plain Text format TXT  |  1891051579 in PDF (Portable Document Format) PDF  |  1891051579 in an XML format XML  formats.

NPI Number : 1891051579 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891051579",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "WEEMS MENTAL HEALTH",
    "ParentOrgTIN": null,
    "OrgName": "REGION TEN COMMISSION ON MENTAL HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2868",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MERIDIAN",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39302-2868",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-635-3342",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "92 SOUTH 6TH AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39327-0092",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-635-3342",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2012",
    "LastUpdateDate": "03/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BLOUNT",
    "AuthorizedOfficialFirstName": "OLIVIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "601-483-4821",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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