Organization
REGION SEVEN MENTAL HEALTH INTELLECTUAL DISABILITIES COMM
Active
Other names
Community Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY A DOSS (BILLING SUPERVISOR)
(662) 323-9318
Entity
Organization
Contact information
Practice address
682 COLLIER RD, STARKVILLE, MS 39759
(662) 323-9318
(662) 323-5553
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 285-6433
(662) 323-9841
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003658575
—
MS
Enumeration date
07/30/2015
Last updated
08/07/2024
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