REGION IV MENTAL HEALTH SERVICES LIGHT HOUSE


Address: 2105 Proper St, Corinth, Corinth, MS 38834-5247
Phone: 6622867084

REGION IV MENTAL HEALTH SERVICES LIGHT HOUSE (NPI# 1598190720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598190720
Entity Type Organization
Organization Name REGION IV MENTAL HEALTH SERVICES LIGHT HOUSE
Practice Address 2105 Proper St
Corinth
Corinth
MS 38834-5247
Mailing Address Po Box 839
Corinth
MS 38835-0839
Practice Telephone 6622867084
Practice Fax Number 6622872070
Mailing Telephone 6622869883
Mailing Fax Number 6622849836
Enumeration Date 2013-09-06
Last Update Date 2013-09-06
Authorized Official Name MR. CHARLIE SPEARMAN SR. (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6622869883
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 2105 PROPER ST
CORINTH
City CORINTH
State MS
Zip Code 38834-5247

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477176824 Crystalcare Clinic/Center 3124 N Shiloh Road, Corinth, MS 38834 2020-05-20
1962046680 Wanda Lee Kilpatrick Technician 1206 Breckenridge St., Corinth, MS 38834 2019-11-06
1215595756 Alanna Nunez Heflin Dentist 3127 E Shiloh Rd, Corinth, MS 38834 2019-05-30
1629530795 A Port In The Storm (apits) Clinic/Center 102 N. Cass Street, Suite B, Corinth, MS 38834 2019-04-05
1538654199 Jerry Wayne Latch Durable Medical Equipment & Medical Supplies 206 N Fillmore St, Corinth, MS 38834 2018-06-26
1194215681 Brooks Medical Clinic Clinic/Center 2113 South Tate Street, Corinth, MS 38834 2018-05-10
1164938650 Pediatric Dentistry of Corinth Dentist 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 2017-12-19
1467964536 King Speech-language Therapy, LLC Speech-Language Pathologist 2203 Hwy 72 East, Corinth, MS 38834 2017-10-30
1841669728 Glenda Gatlin Social Worker 14 Cr 305, Corinth, MS 38834 2015-09-21
1649646555 Amanda Word Social Worker 303 North Madison Street, Corinth, MS 38834 2015-08-14
Find all providers in zip 38834

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063847200 Region Iv Mental Health Services-nfusion Office Community/Behavioral Health 2050 Highway 72 E Anx, Corinth, MS 38834-8800 2013-09-06
1114153434 Choices Community/Behavioral Health 263 Main St Ste 1, Corinth, ME 04427-3023 2009-06-01
1013431477 Valerie Gunther Community/Behavioral Health 2664 S Harper Rd, Corinth, MS 38834-6723 2017-07-27
1013315845 Region Iv Outpatient Mental Health Community/Behavioral Health 301 S Cass St, Corinth, MS 38834-6109 2014-12-10
1942579826 Region Iv Mental Health Services Community/Behavioral Health 303 N Madison St, Corinth, MS 38834-5072 2011-12-21
1336424589 Region Iv Mental Health Services-alcorn Children's Community/Behavioral Health 2664 S Harper Rd, Corinth, MS 38834-6723 2011-10-19
1154601219 Region Iv Mental Health Services Community/Behavioral Health 303 N Madison St, Corinth, MS 38834-5072 2011-08-22
1508163114 Region Iv Mental Health Services Crisis Center-corinth Community/Behavioral Health 1000 State St, Corinth, MS 38834-9307 2011-02-16
1326353939 Carol M Gray Community/Behavioral Health 1000 State Street, Corinth, MS 38834 2010-08-09
1306150404 Traci Dobbs Community/Behavioral Health 303 N Madison St, Corinth, MS 38834-5072 2010-07-30
Find all providers in CORINTH

Competitor

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City CORINTH
Zip Code 38834

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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