Indianola Clinic, LLC
NPI #1164964565 in Leland, Mississippi
Provider Information
- NPI Number
- 1164964565
- Entity Type
- Organization
- Organization Name
- Indianola Clinic, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Nov 16, 2016
- Last Updated
- May 18, 2017
Practice Location
- Address
- 201 BAKER BLVD
- City
- Leland
- State
- Mississippi
- ZIP Code
- 38756-3401
- Phone
- (662) 686-4121
Authorized Official
- Name
- MR. HENRY MARLIN WOMACK JR.
- Title
- VP OF ADMINISTRATION
- Phone
- (662) 686-3916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Social Worker |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
Similar Providers
| Provider Name | |
|---|---|
| Warren Yazoo Mental Health Service | |
| Gulf Coast Mental Health Center | |
| Beacon Behavioral Health Gulf Coast INC | |
| Mmo of Hattiesburg, LLC | |
| SW Ms Mental Health Mental Retardation Commission |
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