# HEALTHY HEART AND MIND BEHAVIORAL HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1194493858
- **Authorized official:** MRS. KRISTY LYNN STATEN LCSW (OWNER)
- **Authorized official phone:** (601) 951-4341

## Contact information

- **Practice address:** 506 W MARION AVE STE A, CRYSTAL SPRINGS, MS 39059-2720
- **Practice address phone:** (601) 951-4341
- **Mailing address:** 2575 TANK RD, TERRY, MS 39170-8394
- **Mailing address phone:** (601) 951-4341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2021
- **Last updated:** 08/30/2021