Region Ten Commission On Mental Health

Specialty details in registry · Forest, MS

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At a glance

1514 Homewood Rd, Forest, MS 39074

NPPES record updated Mar 28, 2025. Public records can lag behind changes at a practice.

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Practice location

1514 Homewood Rd
Forest, MS 39074
Professional details: NPI, taxonomy & registry record
NPI1154687838
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0801X
Enumeration date
Apr 6, 2012
Record updated
Mar 28, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM0801X · Primary

Specialty details in registry

261QM0850X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1514 Homewood Rd
Forest, MS 39074
Phone
(601) 469-2211
Mailing address
PO BOX 2868

MERIDIAN, MS 393022868
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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