Organization
HOLLIE MOFFATT PMHNP-BC LLC
Active
Other names
Healthy Minds of Tupelo
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLIE MOFFATT (OWNER)
(662) 350-0760
Entity
Organization
Contact information
Practice address
315 MAGAZINE ST STE C, TUPELO, MS 38804-4802
(662) 350-0760
Mailing address
315 MAGAZINE ST STE C, TUPELO, MS 38804-4802
(662) 350-0760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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