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Organization
REGION VI COMMUNITY MENTAL HEALTH COMMISSION
Active
Organization
REGION VI COMMUNITY MENTAL HEALTH COMMISSION
Active
Other names
Life Help
Organization subpart
No
Provider details
NPI number
Authorized official
PHAEDRE COLE (EXECUTIVE DIRECTOR)
(662) 453-6211
Entity
Organization
Contact information
Practice address
2504 BROWNING ROAD, GREENWOOD, MS 38930
(662) 453-6211
(662) 455-8724
Mailing address
PO BOX 1505, GREENWOOD, MS 38935-1505
(662) 453-6211
(662) 455-8724
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018206
—
MS
05
—
00770318
—
MS
05
—
00770409
—
MS
05
—
01253876
—
MS
05
—
09581272
—
MS
Enumeration date
08/31/2006
Last updated
10/06/2020
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