Organization
ELY PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CAY BROOKS ELY PMHNP-B.C. (OWNER)
(601) 646-7800
Entity
Organization
Contact information
Practice address
213 N PEARMAN AVE, CLEVELAND, MS 38732-2633
(662) 390-6244
(949) 561-4976
Mailing address
PO BOX 520, MARION, MS 39342-0520
(601) 646-7700
(888) 735-7202
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
10/25/2023
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