Organization
BOUDREAUX MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MARIE FOLEY RN, PMHNP (OWNER)
(601) 616-1439
Entity
Organization
Contact information
Practice address
98 BURNHAM RD, SUITE A, BRANDON, MS 39042-2759
(601) 664-0204
Mailing address
98 BURNHAM RD, SUITE A, BRANDON, MS 39042-2759
(601) 664-0204
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
R850842
MS
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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