Warren Yazoo Mental Health Service in Vicksburg - Mental Health (including Community Mental Health Center)
Warren Yazoo Mental Health Service - NPI 1023002920
Warren Yazoo Mental Health Service is a Mental Health (including Community Mental Health Center) in Vicksburg, Mississippi. Warren Yazoo Mental Health Service practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Warren Yazoo Mental Health Service is 1023002920. The last update date is 2017-02-06.
Warren Yazoo Mental Health Service's current location address is 3444 Wisconsin Ave, Vicksburg, Mississippi. You can contact this provider via phone number 6016380031 and fax number 6016340234. The mailing address for Warren Yazoo Mental Health Service is 3444 Wisconsin Ave, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Warren Yazoo Mental Health Service |
|---|---|
| Address | 3444 Wisconsin Ave, Vicksburg, Mississippi |
| Phone Number | 6016380031 |
| Fax Number | 6016340234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Vessell Rick |
| Credentials | CPA |
| Telephone Number | 6016380031 |
NPI Number Detail
| NPI Number | 1023002920 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2017-02-06 |
Provider Mailing Address Detail
| Address | 3444 Wisconsin Ave |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391805331 |
| Phone Number | 6016380031 |
| Fax Number | 6016340234 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | R15-1 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18215 | MS | -- | |
| 770336 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Warren Yazoo Mental Health Service?
The Warren Yazoo Mental Health Service has been issued the NPI (National Provider Identifier) 1023002920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Warren Yazoo Mental Health Service's facilities are geographically located?
The facilities of Warren Yazoo Mental Health Service are physically situated at the following location: 3444 Wisconsin Ave, Vicksburg, MS, 391805331.
What is Warren Yazoo Mental Health Service's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Warren Yazoo Mental Health Service is Mental Health (including Community Mental Health Center), and the taxonomy code that classifies this field of practice is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023002920 to Warren Yazoo Mental Health Service?
The Centers for Medicare & Medicaid Services assigned the 1023002920 to Warren Yazoo Mental Health Service on 2005-09-07.
As of what date was the information pertaining to Warren Yazoo Mental Health Service, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Warren Yazoo Mental Health Service, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-02-06.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL