Hattiesburg Clinic Pa in Hattiesburg - Adolescent And Children Mental Health
Hattiesburg Clinic Pa - NPI 1154410017
Hattiesburg Clinic Pa is a Adolescent And Children Mental Health in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Hattiesburg Clinic Pa is 1154410017. The last update date is 2020-10-07.
Hattiesburg Clinic Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015795488 and fax number 6015795240. The mailing address for Hattiesburg Clinic Pa is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hattiesburg Clinic Pa |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6015795488 |
| Fax Number | 6015795240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Batson N Bryan |
| Credentials | MD |
| Telephone Number | 6012685601 |
NPI Number Detail
| NPI Number | 1154410017 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015795488 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9673755 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Hattiesburg Clinic Pa by the Centers for Medicare & Medicaid Services?
The Hattiesburg Clinic Pa has been issued the NPI (National Provider Identifier) 1154410017. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Hattiesburg Clinic Pa is physically located?
The Hattiesburg Clinic Pa is situated at the following address: 415 S 28Th Ave, Hattiesburg, MS 394017246.
What is Hattiesburg Clinic Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Hattiesburg Clinic Pa is Adolescent And Children Mental Health, and the taxonomy code that classifies this field of practice is 261Qm0855X.
When did Hattiesburg Clinic Pa receive its 1154410017 assignment?
The Hattiesburg Clinic Pa was assigned its 1154410017 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
When was the information regarding Hattiesburg Clinic Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-07.