Organization · Type 2 NPI

Northeast Mental Health/mental Retardation Commission

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

NPI number 1801828496 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Fax (662) 680-6416

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

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

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NPI record

NPI: 1801828496
Entity type: Organization (Type 2)
Issued: Jul 6, 2006
Last updated: Oct 28, 2020
Status: Active

Other names

<unavail>
Northeast Mental Health-Menta · doing business as
Northeast Mental Health-Menta · doing business as

Authorized official

Mrs. Raquel Rosamond
Executive Director
(662) 640-4595

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801828496

Northeast Mental Health/mental Retardation Commission's National Provider Identifier is 1801828496, issued on Jul 6, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tupelo, MS. The record was last updated on Oct 28, 2020.