OPEN MINDS COMMUNITY IMPROVEMENT CENTER NPI 1063145787

NPI Information

  • NPI: 1063145787
  • Provider Name: OPEN MINDS COMMUNITY IMPROVEMENT CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1003 MERRYDALE DR
    PICAYUNE, MS
    ZIP 39466
  • Phone: (228) 731-5156

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NPI Details

OPEN MINDS COMMUNITY IMPROVEMENT CENTER is a mental health (including community mental health center) clinic center in Picayune, MS. OPEN MINDS COMMUNITY IMPROVEMENT CENTER NPI is 1063145787. The provider is registered as an organization entity type.

The provider's business location address is:

1003 MERRYDALE DR
PICAYUNE, MS
ZIP 39466-422
Phone: (228) 731-5156

The provider's authorized official is Ashiyah Polk .
The authorized official title is Co-founder and has the following contact phone number (228) 731-5156.

The enumeration date for this NPI number is 7/9/2022 and was last updated on 7/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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