Provider Type Icon

PSYCAMORE LLC NPI 1699090001


NPI Information

NPI: 1699090001
Provider Name: PSYCAMORE, LLC

Other Name: PSYCAMORE PROFESSIONAL SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 25D2109400

Address:
2540 FLOWOOD DR
FLOWOOD, MS
ZIP 39232
Phone: (601) 939-5993
Get Directions

PSYCAMORE, LLC is a clinic center in Flowood, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PSYCAMORE, LLC NPI is 1699090001. The provider is registered as an organization entity type.
The provider Other Name Is Psycamore Professional Services.

The provider's business location address is:

2540 FLOWOOD DR
FLOWOOD, MS
ZIP 39232-362
Phone: (601) 939-5993
Fax: (601) 939-5935

The provider's authorized official is Katherine A Hall .
The authorized official title is Business Manager and has the following contact phone number (601) 939-5993.

The CLIA number assigned to this NPI record is 25D2109400 - other - behavioral hlt php & iop with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2010 and was last updated on 3/30/2010.


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
1261Q00000XClinic/CenterDCS-PSYCAMORE-PHA/OPMISSISSIPPIYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.