MEDICARE: PSYCH-SOLUTIONS

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1790585933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCH-SOLUTIONS

Provider Business Mailing Address
First Line	:	228 BROADWAY DR STE 6
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39401-5074
Country	:	US
Telephone Number	:	601-813-9360
Fax Number	:

Provider Business Practice Location Address
First Line	:	228 BROADWAY DR STE 6
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39401-5074
Country	:	US
Telephone Number	:	601-813-9360
Fax Number	:	601-429-9505

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	MRS. ERIKA NEWSOME
Credential	:	DNP
Telephone Number	:	601-813-9360

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	10/09/2025

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