ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI, LLC – NPI #1659990075
Psychiatry & Neurology
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
ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI, LLC is a psychiatry & neurologist located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1659990075 to ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI, LLC on April 15, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine
The NPI profile was previously updated about 3 years ago on Sep 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI, LLC below.
NPI Profile for
ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MISSISSIPPI, LLC
(more than 6 years ago)
SOUTHAVEN, MS 38671-1610 Phone: (662) 510-5387 Fax: (662) 342-0782
NASHVILLE, TN 37203-1618 Phone: Fax:
CFO
Phone: (615) 921-4475
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084A0401X - Psychiatry & Neurology / Addiction Medicine (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.