| Southern Communities Behavioral Health | |
|
402 Greenwood St Port Gibson MS 39150-2626 | |
| (601) 448-5171 | |
| Not Available |
| Full Name | Southern Communities Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 402 Greenwood St, Port Gibson, Mississippi |
| Authorized Official Name and Position | Jonathan Reeves (OWNER) |
| Authorized Official Contact | 6303796755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Communities Behavioral Health Po Box 78 Port Gibson MS 39150-0078 Ph: () - | Southern Communities Behavioral Health 402 Greenwood St Port Gibson MS 39150-2626 Ph: (601) 448-5171 |
| NPI Number | 1477048791 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477048791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2212 (Mississippi) | Primary |
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