Organization · Type 2 NPI

Hattiesburg Clinic PA

Adolescent and Children Mental Health Clinic/Center · Hattiesburg, MS

NPI number 1154410017 Active

Practice location

102 Medical Park
Hattiesburg, MS 39401-9080

Fax (601) 545-1740

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

18 other providers at this address

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About NPI 1154410017

Hattiesburg Clinic PA's National Provider Identifier is 1154410017, issued on Oct 11, 2006. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Hattiesburg, MS. The record was last updated on May 28, 2025.