# OCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023738606
- **Authorized official:** JEFFREY D LEWIS (DIRECTOR OF PAARMACEUTICAL SERVICES)
- **Authorized official phone:** (337) 303-6240

## Contact information

- **Practice address:** 4579 S EASON BLVD STE B, TUPELO, MS 38801-6539
- **Practice address phone:** (662) 268-4418
- **Practice address fax:** (888) 255-5803
- **Mailing address:** 4579 S EASON BLVD STE 1, TUPELO, MS 38801-6539
- **Mailing address phone:** (662) 268-4418
- **Mailing address fax:** (888) 255-5803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 09/01/2022