Whalio Doctors

NPI 1013149301

Phyllis a Grinstead, PCMHT

Practitioner Mental Health Counselor Hattiesburg, MS

Practice location

Address
4001 Mamie St, Hattiesburg, MS 39402
Phone
(601) 705-1901

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1824 (MS)

Registry record

NPI
1013149301
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Aug 2009
Record last updated
20 Aug 2009

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.