Organization
HEAL THY SELF PEDIATRIC IOP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY SADE SMITH LCSW (OWNER/CLINICAL DIRECTOR)
(601) 521-0213
Entity
Organization
Contact information
Practice address
731 AVIGNON DR STE 1, RIDGELAND, MS 39157-5171
(601) 521-0213
(601) 965-9759
Mailing address
731 AVIGNON DR STE 1, RIDGELAND, MS 39157-5171
(601) 521-0213
(601) 965-9759
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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