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Organization

THEIA BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH NOSEN PH.D. (OWNER)
(601) 277-2656
Entity
Organization

Contact information

Practice address
317 E CAPITOL ST STE 200, JACKSON, MS 39201-3405
(601) 277-2656
Mailing address
317 E CAPITOL ST STE 200, JACKSON, MS 39201-3405
(601) 277-2656

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/25/2025
Last updated
08/04/2025
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