Organization
REGION SEVEN MENTAL HEALTH INTELLECTUAL DISABILITIES COMM
Active
Other names
COMMUNITY COUNSELING SREVICES
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DOSS (BILLING/ACCTS REC SUPERVISOR)
(662) 323-9318
Entity
Organization
Contact information
Practice address
120 COLLIER ROAD, STARKVILLE, MS 39759-8891
(662) 323-8907
(662) 323-9841
Mailing address
PO BOX 1336, WEST POINT, MS 39773-1336
(662) 524-4347
(662) 524-4370
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000770280
—
MS
Enumeration date
04/25/2008
Last updated
11/27/2024
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