Blackstone

LBN: Providence Behavioral Health Services
Blackstone is an health care organization with primary practice located at 5266 Old Highway 11 Ste 50 , Hattiesburg MS 39402-7818. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Providence Behavioral Health Services can be contacted via phone (678) 834-7615, or through Wright, Nikki Kwona via phone (678) 834-7615.

Contact Information

Primary practice address
5266 Old Highway 11 Ste 50 Hattiesburg MS 39402-7818
Phone: (678) 834-7615
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wright, Nikki Kwona MS
Phone: (678) 834-7615

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1801340799
LBN Legal business name Providence Behavioral Health Services
DBA Doing business as Blackstone
Authorized official Wright, Nikki Kwona MS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2016
Last updated Aug 8th, 2016 - about 8 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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