Organization
SOUTHERN LIGHT MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE DUNCAN (VICE PRESIDENT OF REVENUE)
(678) 332-6122
Entity
Organization
Contact information
Practice address
12 BROOKES XING, PONTOTOC, MS 38863-1009
(662) 489-4044
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 360-4018
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
11/24/2025
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