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Organization
SOUTHERN LIGHT MENTAL HEALTH, LLC
Active
Organization
SOUTHERN LIGHT MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE DUNCAN (VICE PRESIDENT OF REVENUE)
(678) 332-6122
Entity
Organization
Contact information
Practice address
12 BROOKES XING, PONTOTOC, MS 38863-1009
(662) 489-4044
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 360-4018
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
11/24/2025
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