Midsouth Behavioral Health, Pllc

NPI #1912084286 in Olive Branch, Mississippi

Provider Information

NPI Number: 1912084286
Entity Type: Organization
Organization Name: Midsouth Behavioral Health, Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Nov 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6810 CRUMPLER BLVD
Address 2: SUITE 302
City: Olive Branch
State: Mississippi
ZIP Code: 38654-1933
Phone: (662) 895-1707

Authorized Official

Name: MERRY NICHOLS
Title: ACCTS. MANAGER
Phone: (662) 895-1707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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