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Organization
GOSS MENTAL HEALTH AND WELLNESS PLLC
Active
Organization
GOSS MENTAL HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYTON GOSS PMHNP (NURSE PRACTITIONER)
(662) 392-9961
Entity
Organization
Contact information
Practice address
1117 SUNSET DR STE 104, GRENADA, MS 38901-4080
(662) 688-0103
(662) 226-3700
Mailing address
1117 SUNSET DR STE 104, GRENADA, MS 38901-4080
(662) 688-0103
(662) 226-3700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200025810
—
MS
Enumeration date
05/26/2026
Last updated
06/09/2026
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