Organization
PIVOTAL HEALTH AND WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRENISHA L YOUNG PMHNP-BC FNP-C (NURSE PRACTITIONER)
(601) 397-6731
Entity
Organization
Contact information
Practice address
110 CROSS PARK DR STE A, PEARL, MS 39208-9016
(601) 397-6731
Mailing address
PO BOX 4244, BRANDON, MS 39047-4244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
12/26/2025
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