Organization · Type 2 NPI
Addiction Campuses Professional Services of Mississippi, LLC
Addiction Medicine (Psychiatry & Neurology) Physician · Southaven, MS
Practice location
340 Stateline Rd W
Southaven, MS 38671-1610
Fax (662) 342-0782
Mailing address
205 Reidhurst Ave
Nashville, TN 37203-1618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
17 other providers at this address
- Addiction Campuses of Mississippi, LLCSubstance Abuse Rehabilitation Facility Southaven, MS NPI 1356703524
- Amanda Folsom, PMHNPPsychiatric/Mental Health Nurse Practitioner Southaven, MS NPI 1851916837
- Brittany Leafaye McKinney, LCSWClinical Social Worker Southaven, MS NPI 1194310573
- Cashandra L. HooperAddiction (Substance Use Disorder) Registered Nurse Southaven, MS NPI 1285216309
- Christina Marie McCaffertySocial Worker Southaven, MS NPI 1033796172
- Daphane BrownLicensed Practical Nurse Southaven, MS NPI 1124695648
- Neperterri Latrice TaylorRegistered Nurse Southaven, MS NPI 1609458611
- Nikii Vales, LPNLicensed Practical Nurse Southaven, MS NPI 1861079402
- Raven Kiara Lee, LPNLicensed Practical Nurse Southaven, MS NPI 1124607908
- Saja B. MbogeClinical Social Worker Southaven, MS NPI 1063096469
- Steven A. SmithMental Health Counselor Southaven, MS NPI 1336734979
- Tandra Brider, RNRegistered Nurse Southaven, MS NPI 1770165334
About NPI 1659990075
Addiction Campuses Professional Services of Mississippi, LLC's National Provider Identifier is 1659990075, issued on Apr 15, 2020. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Southaven, MS. The record was last updated on Sep 6, 2023.