# REGION TEN STATE OF MS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGION TEN STATE OF MS
- **Other names:** Region 10 MYPAC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366093791
- **Legal business name:** REGION TEN STATE OF MS
- **Authorized official:** LORI WALTON (CFO)
- **Authorized official phone:** (601) 483-4821

## Contact information

- **Practice address:** 832 HIGHWAY 19 N STE 510, MERIDIAN, MS 39307-5876
- **Practice address phone:** (601) 483-4821
- **Practice address fax:** (601) 485-8727
- **Mailing address:** WEEMS CMHC, 1415 COLLEGE DRIVE, MERIDIAN, MS 39307
- **Mailing address phone:** (601) 483-4821
- **Mailing address fax:** (601) 485-8727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2019
- **Last updated:** 09/26/2019