institution
Hattiesburg Clinic Pa
Adolescent and Children Mental Health Clinic/Center in Hattiesburg, Mississippi
NPI 1154410017

Hattiesburg Clinic Pa is an Adolescent and Children Mental Health Clinic/Center based in Hattiesburg, MS and is specialized in Adolescent and Children Mental Health. Hattiesburg Clinic Pa practices in Hattiesburg, MS. The NPI Number for Hattiesburg Clinic Pa is 1154410017 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic Pa is 2 Southern Pointe Parkway, Hattiesburg, MS and can be reached out via phone at 601-261-5159 and via fax at 601-268-2039.

Location: 2 Southern Pointe Parkway, Hattiesburg, MS, 39401-7246
institution
Provider Profile Details
NPI Number
1154410017
Provider Name
Hattiesburg Clinic Pa
Credential
Provider Entity Type
Organization
Address
2 Southern Pointe Parkway, Hattiesburg, MS, 39401-7246
Phone Number
601-261-5159
Fax Number
601-268-2039
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09673755 05 MS
institution
Provider Business Practice Location Address Details
Address
2 Southern Pointe Parkway
City
State
Zip
39402-2610
Phone Number
601-261-5159
Fax Number
601-268-2039
person
Provider Business Mailing Address Details
Address
2 Southern Pointe Parkway
City
State
Zip
39402-2610
Phone Number
601-261-5159
Fax Number
601-268-2039
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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