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Organization
OCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC
Active
Organization
OCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D LEWIS (DIRECTOR OF PAARMACEUTICAL SERVICES)
(337) 303-6240
Entity
Organization
Contact information
Practice address
4579 S EASON BLVD STE B, TUPELO, MS 38801-6539
(662) 268-4418
(888) 255-5803
Mailing address
4579 S EASON BLVD STE 1, TUPELO, MS 38801-6539
(662) 268-4418
(888) 255-5803
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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