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Organization

ELITE PSYCHIATRIC SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAKEVIA JOHNSON MD (OWNER/PSYCHIATRIST)
(662) 392-1669
Entity
Organization

Contact information

Practice address
357 TOWNE CENTER PL STE 400, RIDGELAND, MS 39157-4844
(888) 561-3380
(888) 732-6141
Mailing address
1835 COUNTY ROAD 71, MC CARLEY, MS 38943-9305
(662) 392-1669

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/27/2023
Last updated
03/27/2023
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