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ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI LLC NPI 1659990075


NPI Information

NPI: 1659990075
Provider Name: ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI, LLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
340 STATELINE RD W
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 510-5387
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ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI, LLC is an addiction medicine psychiatry neurology in Southaven, MS. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI, LLC NPI is 1659990075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 STATELINE RD W
SOUTHAVEN, MS
ZIP 38671-610
Phone: (662) 510-5387
Fax: (662) 342-0782

The provider's authorized official is Steve Armond .
The authorized official title is Cfo and has the following contact phone number (615) 921-4475.

The enumeration date for this NPI number is 4/15/2020 and was last updated on 9/6/2023.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineYes

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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