Magnolia Psychiatric Services Pllc

LBN: Magnolia Psychiatric Services Pllc
Magnolia Psychiatric Services Pllc is an health care organization with primary practice located at 1265 Cliff Gookin Blvd , Tupelo MS 38801-6749. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Magnolia Psychiatric Services Pllc can be contacted via phone (662) 223-3737, or through Pickett, Jason Cody via phone (662) 223-3737.

Contact Information

Primary practice address
1265 Cliff Gookin Blvd Tupelo MS 38801-6749
Phone: (662) 223-3737
Fax: (601) 429-9294
Website:
Map and Directions
Authorized official contact:
Name: Pickett, Jason Cody Doctor of Medicine (MD)
Phone: (662) 223-3737

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1740038181
LBN Legal business name Magnolia Psychiatric Services Pllc
DBA Doing business as
Authorized official Pickett, Jason Cody Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2024
Last updated May 10th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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