Organization
MS COUNSELING AND PSYCHIATRIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WAGNER (PRESIDENT)
(662) 322-6259
Entity
Organization
Contact information
Practice address
1893 CLIFF GOOKIN BLVD STE B, TUPELO, MS 38801-6558
(662) 346-4584
(662) 346-4589
Mailing address
1893 CLIFF GOOKIN BLVD STE B, TUPELO, MS 38801-6558
(662) 346-4584
(662) 346-4589
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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