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NPI Code Detail

MEDICARE: REGION SEVEN MENTAL HEALTH IDD COMMISSION

MEDICARE: REGION SEVEN MENTAL HEALTH IDD COMMISSION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1376669135
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGION SEVEN MENTAL HEALTH IDD COMMISSION
Provider Business Mailing Address
First Line : 302 N JACKSON ST
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-2504
Country : US
Telephone Number : 662-323-9261
Fax Number : 662-324-9647
Provider Business Practice Location Address
First Line : 1001 MAIN ST
Second Line :
City : COLUMBUS
State : MS
Zip : 39701-4751
Country : US
Telephone Number : 662-328-9225
Fax Number : 662-328-4735
Authorized Official
Title or Position : ACCTS REC/BILLING SUPERVISOR
Name : KATHY DOSS
Credential :
Telephone Number : 662-323-9318
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/29/2024

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1639365422 — MELISSA COOPER LCSW
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1033399118 — JOHN MCMAHON LCSW
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Directions to “REGION SEVEN MENTAL HEALTH IDD COMMISSION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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