Organization
REGION 12 COMMISSION ON MENTAL HEALTH & RETARDATION PINE BELT MEN
Active
Other names
Pine Belt Mental Health Care Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET MAYS (CHIEF FINANCIAL OFFICER)
(601) 705-1902
Entity
Organization
Contact information
Practice address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 544-4641
(601) 584-4053
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1906
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R12-1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018212
—
MS
01
—
R121
DMH CERTIFICATION
MS
Enumeration date
08/01/2006
Last updated
09/16/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us