Organization
MENTAL HEALTH ASSC OF MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS DIXON JR. (BUSINESS OPERATIONS MANAGER)
(601) 850-1087
Entity
Organization
Contact information
Practice address
1501 JACKSONIAN PLZ STE 14131, JACKSON, MS 39211-5454
(769) 300-5340
Mailing address
1501 JACKSONIAN PLZ STE 14131, JACKSON, MS 39211-5454
(769) 300-5340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/03/2025
Last updated
10/05/2025
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