Organization
HAMILTONDAVIS MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ABSTON (PRESIDENT)
(601) 932-8991
Entity
Organization
Contact information
Practice address
311 AIRPORT RD S, PEARL, MS 39208-6650
(601) 932-8991
(601) 932-1007
Mailing address
311 AIRPORT RD S, PEARL, MS 39208-6650
(601) 932-1003
(601) 932-1007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001736095
—
MS
05
—
007282551
—
MS
05
—
008055799
—
MS
05
—
100118820
—
MS
Enumeration date
11/22/2019
Last updated
03/29/2026
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