Psycamore, LLC
NPI #1043465040 in Southaven, Mississippi
Provider Information
- NPI Number
- 1043465040
- Entity Type
- Organization
- Organization Name
- Psycamore, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Nov 19, 2008
- Last Updated
- Nov 19, 2008
Practice Location
- Address
- 7165 GETWELL RD
- Address 2
- BUILDING 3, SUITE 1 & 2
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38672-9659
- Phone
- (800) 779-2448
Authorized Official
- Name
- MS. KIMBERLY LICHTE-MADAKASIRA, LPC, LMFT
- Title
- VICE-PRESIDENT
- Phone
- (601) 939-5993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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