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Organization

KELLY VELASQUEZ PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, LLC

Active
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Organization

KELLY VELASQUEZ PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, LLC

Active
Other names
DeSoto Psychiatric Care
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY LYNN VELASQUEZ APRN, PMHNP (OWNER)
(662) 420-2418
Entity
Organization

Contact information

Practice address
6858 SWINNEA RD BLDG 3B, SOUTHAVEN, MS 38671-9493
(662) 420-2418
(855) 529-1633
Mailing address
6858 SWINNEA RD BLDG 3B, SOUTHAVEN, MS 38671-9493
(662) 420-5160

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
03/03/2023
Last updated
07/02/2026
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