OLIVE BRANCH PSYCHIATRIC SERVICES is a psychiatric/mental health nurse practitioner in Olive Branch, MS. OLIVE BRANCH PSYCHIATRIC SERVICES NPI is 1306303011. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6914 AUTUMN OAKS DR STE A
OLIVE BRANCH, MS
ZIP 38654-380
Phone: (662) 408-4136
Fax: (662) 420-7940
The provider's authorized official is Tomika Washington .
The authorized official title is Owner and has the following contact phone number (662) 408-4136.
The CLIA number assigned to this NPI record is 25D2232031 - ambulance with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/28/2019 and was last updated on 8/4/2020.