PANTHER CREEK FOUNDATION NPI 1558035055

NPI Information

  • NPI: 1558035055
  • Provider Name: PANTHER CREEK FOUNDATION
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 5750 CONGER RD
    NESBIT, MS
    ZIP 38651
  • Phone: (662) 912-5440

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NPI Details

PANTHER CREEK FOUNDATION is a mental health counselor in Nesbit, MS. PANTHER CREEK FOUNDATION NPI is 1558035055. The provider is registered as an organization entity type.

The provider's business location address is:

5750 CONGER RD
NESBIT, MS
ZIP 38651-898
Phone: (662) 912-5440

The provider's authorized official is Mylissa Horrocks .
The authorized official title is Executive Director and has the following contact phone number (901) 574-1740.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 8/6/2021.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2101YM0800XCounselorMental HealthYes

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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