Mississippi Center For Autism And Related Developmental Disabilities

LBN: Mississippi Center For Autism And Related Developmental Disabilities
Mississippi Center For Autism And Related Developmental Disabilities is an health care organization with primary practice located at 4061 Suzanne Dr Suite C, Diberville MS 39540-3735. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Mississippi Center For Autism And Related Developmental Disabilities can be contacted via phone (228) 396-4434, or through Tisdale, Aimee M via phone (228) 806-9936.

Contact Information

Primary practice address
4061 Suzanne Dr Suite C Diberville MS 39540-3735
Phone: (228) 396-4434
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tisdale, Aimee M PHD
Phone: (228) 806-9936

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / School 103TS0200X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1891084414
LBN Legal business name Mississippi Center For Autism And Related Developmental Disabilities
DBA Doing business as
Authorized official Tisdale, Aimee M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2011
Last updated Apr 4th, 2011 - about 14 years 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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