Panther Creek Foundation
NPI #1558035055 in Nesbit, Mississippi
Provider Information
- NPI Number
- 1558035055
- Entity Type
- Organization
- Organization Name
- Panther Creek Foundation
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 6, 2021
- Last Updated
- Aug 6, 2021
Practice Location
- Address
- 5750 CONGER RD
- City
- Nesbit
- State
- Mississippi
- ZIP Code
- 38651-8898
- Phone
- (662) 912-5440
Authorized Official
- Name
- MYLISSA HORROCKS, MPH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (901) 574-1740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Counselor - Mental Health — Mental Health |
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