REGION ONE MENTAL HEALTH CENTER NPI 1285222331

NPI Information

  • NPI: 1285222331
  • Provider Name: REGION ONE MENTAL HEALTH CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1742 CHERYL ST
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 627-7267

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NPI Details

REGION ONE MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Clarksdale, MS. REGION ONE MENTAL HEALTH CENTER NPI is 1285222331. The provider is registered as an organization entity type.

The provider's business location address is:

1742 CHERYL ST
CLARKSDALE, MS
ZIP 38614-218
Phone: (662) 627-7267
Fax: (662) 627-5240

The provider's authorized official is Dalynda L Gaston .
The authorized official title is Billing Clerk and has the following contact phone number (662) 627-7267.

The enumeration date for this NPI number is 1/5/2021 and was last updated on 1/5/2021.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100018201MEDICAIDMISSISSIPPI

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: 3/30/2025

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