NPI 1043465040

Psycamore, LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Southaven, MS

Practice location

Address: 7165 Getwell Rd Building 3, Suite 1 & 2, Southaven, MS 38672-9659
Phone: (800) 779-2448
Fax: (601) 993-5935
Mailing address: 2540 Flowood Dr, Flowood, MS 39232-9362

Authorised official

Name: Kimberly Lichte-Madakasira
Title: Vice-President
Phone: (601) 939-5993

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1043465040
Entity type: Organization
NPI issued: 19 Nov 2008
Record last updated: 19 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.