institution
Psychosocial Boutique, Pllc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Grenada, Mississippi
NPI 1841846904

Psychosocial Boutique, Pllc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Grenada, MS and is specialized in Mental Health (Including Community Mental Health Center). Psychosocial Boutique, Pllc. practices in Grenada, MS. The NPI Number for Psychosocial Boutique, Pllc. is 1841846904 and holds a License No. (Mississippi).

The current practice location address for Psychosocial Boutique, Pllc. is 1330 Sunset Dr, Grenada, MS and can be reached out via phone at 662-892-2660 and via fax at 662-892-2660.

Location: 1330 Sunset Dr, Grenada, MS, 38901-4000
institution
Provider Profile Details
NPI Number
1841846904
Provider Name
Psychosocial Boutique, Pllc.
Credential
Provider Entity Type
Organization
Address
1330 Sunset Dr, Grenada, MS, 38901-4000
Phone Number
662-892-2660
Fax Number
662-892-2660
Provider Enumeration Date
08/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1330 Sunset Dr
City
State
Zip
38901-4000
Phone Number
662-892-2660
Fax Number
662-892-2660
person
Provider Business Mailing Address Details
Address
1330 Sunset Dr
City
State
Zip
38901-4000
Phone Number
662-892-2660
Fax Number
662-892-2660
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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