25D2090796 CLIA NUMBER - REGION 8 MENTAL HEALTH SERVICES

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Laboratory Demographics

CLIA Number: 25D2090796

Facility Name: REGION 8 MENTAL HEALTH SERVICES

Facility Address:
613 MARQUETTE ROAD
BRANDON, MS
ZIP 39043
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Facility Phone Number: 601 591-5553

Facility Type: Other - INPATIENT RESIDENTIAL

Certificate Type: Waiver

NPI Number: 1497131866

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	25D2090796
LAB Type	Other - INPATIENT RESIDENTIAL
Facility Name	REGION 8 MENTAL HEALTH SERVICES
Street	613 MARQUETTE ROAD
City	BRANDON
State	MS
ZIP	39043
Phone	601 591-5553
CertificateType	4
CertificateEffectiveDate	1/30/2023
CertificateExpirationDate	1/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024