Psychosocial Boutique, Pllc.
NPI #1841846904 in Horn Lake, Mississippi
Provider Information
- NPI Number
- 1841846904
- Entity Type
- Organization
- Organization Name
- Psychosocial Boutique, Pllc.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 14, 2019
- Last Updated
- Nov 29, 2025
Practice Location
- Address
- 1751 DANCY BLVD
- City
- Horn Lake
- State
- Mississippi
- ZIP Code
- 38637-1916
- Phone
- (662) 892-2660
Authorized Official
- Name
- DR. SYRENIA JOHNSON, LCSW
- Title
- OWNER/PRACTITIONER
- Phone
- (662) 892-2660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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