# MISSISSIPPI BAND OF CHOCTAW INDIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Choctaw Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548093545
- **Authorized official:** MRS. ALEXIS NICOLE PYAWASIT-VAUGHN P-LPAT (EXPRESSIVE ART SPECIALIST)
- **Authorized official phone:** (601) 389-4150

## Contact information

- **Practice address:** 210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
- **Practice address phone:** (601) 389-4147
- **Mailing address:** 210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
- **Mailing address phone:** (601) 389-4147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 221700000X | Art Therapist | — | NULL | Yes |
| 221700000X | Art Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2024
- **Last updated:** 09/23/2024