Organization · Type 2 NPI

Mmo of Hattiesburg, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Hattiesburg, MS

NPI number 1629022017 Active

Practice location

990 Hardy St, Suite 4
Hattiesburg, MS 39401-4161

Fax (601) 602-0197

Mailing address

728 North Blvd
Baton Rouge, LA 70802-5724

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1629022017

Mmo of Hattiesburg, LLC's National Provider Identifier is 1629022017, issued on May 20, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 2, 2010.