DESOTO FAMILY COUNSELING CENTER PLLC is a community behavioral health in Southaven, MS. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DESOTO FAMILY COUNSELING CENTER PLLC NPI is 1912214792. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
8626 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671-603
Phone: (662) 772-5937
Fax: (662) 772-5940
The provider's authorized official is Anthony Jerome Wood .
The authorized official title is Owner and has the following contact phone number (662) 772-5937.
The CLIA number assigned to this NPI record is 25D2131590 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/1/2010 and was last updated on 2/24/2022.