South Mississippi Psychiatric Group

LBN: South Mississippi Health Service, Inc
South Mississippi Psychiatric Group is an health care organization with primary practice located at 1 Lincoln Pkwy Ste 202 , Hattiesburg MS 39402-3261. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. South Mississippi Health Service, Inc can be contacted via phone (601) 288-8050, or through Sanford, Debbie F via phone (601) 288-4800.

Contact Information

Primary practice address
1 Lincoln Pkwy Ste 202 Hattiesburg MS 39402-3261
Phone: (601) 288-8050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sanford, Debbie F
Phone: (601) 288-4800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1447356902
LBN Legal business name South Mississippi Health Service, Inc
DBA Doing business as South Mississippi Psychiatric Group
Authorized official Sanford, Debbie F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Jan 15th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447356902 NPPES
Mississippi MEDICAID 09015143

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