WARREN-YAZOO MENTAL HEALTH SERVICE


Address: 3444 Wisconsin Ave, Vicksburg, MS 39180-5331
Phone: 6016380031

WARREN-YAZOO MENTAL HEALTH SERVICE (NPI# 1578948691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578948691
Entity Type Organization
Organization Name WARREN-YAZOO MENTAL HEALTH SERVICE
Other Organization Name WYMHS
Practice Address 3444 Wisconsin Ave
Vicksburg
MS 39180-5331
Practice Telephone 6016380031
Practice Fax Number 6016384950
Mailing Telephone 6016380031
Mailing Fax Number 6016384950
Enumeration Date 2015-07-30
Last Update Date 2015-07-30
Authorized Official Name MRS. MARGIE MORGAN (RISK MGMT)
Authorized Official Telephone 6016380031
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
WYMHS Other Name - Individual/Organization

Office Location

Street Address 3444 WISCONSIN AVE
City VICKSBURG
State MS
Zip Code 39180-5331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023002920 Warren Yazoo Mental Health Service Clinic/Center 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2005-09-07
1083245195 Katherine Sanders Doiron Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2020-01-28
1114575628 Tyla Davenport Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2019-08-28
1770049033 Mindy Crabb Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2019-02-12
1699248153 Kisa Taylor Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2019-01-08
1104393263 Celeta Hubbard Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2018-10-26
1104300557 Keamber Harris Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2018-09-21
1255810073 Traniecia Polk Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2018-08-13
1174000541 Lathia M Hardy Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2018-07-27
1831676899 Jessica Sanders Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2018-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255877346 Elite Performance and Rehab, LLC Clinic/Center 1901 A Mission 66, Vicksburg, MS 39180 2017-01-12
1679931083 Heather M Anderson Physician Assistant 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 2016-02-01
1245604941 Warren County Assn.for Retarded Citizens, Inc. Day Training, Developmentally Disabled Services 100 Smokey Lane, Vicksburg, MS 39180 2015-11-18
1386012904 Brian Oliver Snowden Counselor 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 2015-09-14
1962802710 Jordan P. Crocker, D.m.d., Pllc Clinic/Center 109 Monument Place, Vicksburg, MS 39180 2014-08-29
1821434259 Trisha Addison Physical Therapist 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 2013-05-13
1073862157 Laura Jeanne Briggs Physical Therapist 1901-a Mission 66, Vicksburg, MS 39180 2012-09-05
1912175258 Andrea T. Harris Counselor Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 2008-02-20
1922217314 Austin Family Dentistry Dentist 3040 Indiana Ave, Vicksburg, MS 39180 2007-05-22
1063539138 Ollie Hardaway Jr. Dentist 154 Cottonwood Street, Vicksburg, MS 39180 2007-03-23
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023002920 Warren Yazoo Mental Health Service Clinic/Center 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2005-09-07
1942813597 Divine Interventions Behavioral Health Clinic/Center 106 Ethel Dr, Vicksburg, MS 39180-8905 2020-08-24
1730642927 Moore Counseling and Consultation Services LLC Clinic/Center 108 Ruby Ln, Vicksburg, MS 39183-9227 2019-04-13
1427569763 Journey Toward Hope Counseling Clinic/Center 124 E Prairie St, Vicksburg, MI 49097-1257 2017-10-13
1306362082 Gateway Behavioral Health Services Clinic/Center 2705 Clay St, Vicksburg, MS 39183-3130 2017-08-15
1801335492 Positive Pathways, LLC Clinic/Center 1110 Clay St, Vicksburg, MS 39183-2912 2017-02-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205436003 Sessoms Therapeutic Counseling and Consulting Services, LLC Clinic/Center 232 Market St Ofc 230, Flowood, MS 39232-3339 2020-10-29
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1336753201 Feelings Matter Counseling Services LLC Clinic/Center 2144 Second St, Natchez, MS 39120-2767 2020-09-08
1679185136 Where Positivity Grows Clinic/Center 121 Hanover St, Madison, MS 39110-6028 2020-08-17
1750908182 Horizon Connections Clinic/Center 1818 Crane Ridge Dr Ste 101, Jackson, MS 39216-4912 2020-07-01
1003432626 Positive Innergy Counseling Services, LLC Clinic/Center 6562 King Rd, Meridian, MS 39305-8364 2020-06-19
1548894488 Day To Day Counseling and Consulting Clinic/Center 1389 Cliff Gookin Blvd Ste D, Tupelo, MS 38801-6458 2020-03-01
1174157689 Sound Mind Psychiatry Pllc Clinic/Center 105 W Hamilton St, Houston, MS 38851-2209 2020-02-24
1427693944 Green Spot Wellbeing LLC Clinic/Center 100 Front Ave, Indianola, MS 38751-2461 2019-11-07
1164071981 Community Care Group LLC Clinic/Center 54 E Franklin St, Natchez, MS 39120-3665 2019-09-04
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Competitor

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City VICKSBURG
Zip Code 39180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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