Organization
REGION IV MHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDA PATRICIA AKINES (PSR SUPERVISOR)
(662) 286-7084
Entity
Organization
Contact information
Practice address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 286-7084
(662) 286-2070
Mailing address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 286-7084
(662) 286-2070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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