# URBAN REHAB, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UR, Incorporated
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417370313
- **Authorized official:** MR. PHILIP B MASSEY LCSW, CADC II (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (601) 927-0188

## Contact information

- **Practice address:** 901 HIGHWAY 80 E, CLINTON, MS 39056-5244
- **Practice address phone:** (601) 927-0188
- **Practice address fax:** (601) 292-7998
- **Mailing address:** PO BOX 2305, CLINTON, MS 39060-2305
- **Mailing address phone:** (601) 272-2202
- **Mailing address fax:** (866) 925-4488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | AD09-046M | MS | — |
| 1041C0700X | Clinical Social Worker | M7217 | MS | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 10/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06472833 | — | MS |