# RIVERVIEW BEHAVIOR HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michelle Johnson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407284615
- **Authorized official:** MS. MICHELLE JOHNSON LMFT (THERAPIST)
- **Authorized official phone:** (601) 218-7041

## Contact information

- **Practice address:** 1905 MISSION 66 \# B, VICKSBURG, MS 39180-3751
- **Practice address phone:** (601) 883-7000
- **Mailing address:** 1905 MISSION 66 \# B, VICKSBURG, MS 39180-3751
- **Mailing address phone:** (601) 883-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2013
- **Last updated:** 10/24/2013