Organization
MISSISSIPPI BAND OF CHOCTAW INDIANS
Active
Other names
Choctaw Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS NICOLE PYAWASIT-VAUGHN P-LPAT (EXPRESSIVE ART SPECIALIST)
(601) 389-4150
Entity
Organization
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4147
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4147
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
09/23/2024
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