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NORTH PLANTATION NPI 1639620560


NPI Information

NPI: 1639620560
Provider Name: NORTH PLANTATION

Doing Business As: MINDFUL MATTERS

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1613 23RD AVENUE
GULFPORT, MS
ZIP 39501
Phone: (228) 284-4651
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NORTH PLANTATION is a child and adolescent psychiatry psychiatry neurology in Gulfport, MS. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NORTH PLANTATION NPI is 1639620560. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mindful Matters.

The provider's business location address is:

1613 23RD AVENUE
GULFPORT, MS
ZIP 39501
Phone: (228) 284-4651
Fax: (228) 284-4636

The provider's authorized official is Brian Andrew Hammock .
The authorized official title is Owner and has the following contact phone number (228) 284-4651.

The enumeration date for this NPI number is 10/15/2016 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry21689MISSISSIPPIYes

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: 4/28/2024

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