Organization
TOP TIER THERAPY & PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUARTIVIA RO'SCHELL GIBSON PMHNP-BC (ADMINISTRATOR)
(601) 910-1168
Entity
Organization
Contact information
Practice address
117 REMINGTON CV, MADISON, MS 39110-4559
(601) 910-1168
Mailing address
PO BOX 1002, CLINTON, MS 39060-1002
(601) 910-1168
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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