Desoto Family Counseling Center Pllc is a Psychiatry Clinic in Southaven, Mississippi. It is located at 8626 Airways Blvd, Southaven, MS and its contact number is 662-772-5937. The authorized person for Desoto Family Counseling Center Pllc is Anthony Jerome Wood
who is Owner of the clinic and his/her contact number is 662-772-5937. The primary license number for Desoto Family Counseling Center Pllc is 1326 (Community/behavioral Health) in Mississippi. Desoto Family Counseling Center Pllc Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Desoto Family Counseling Center Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Anthony Jerome Wood
Position:
Owner
Contact Number:
662-772-5937
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Desoto Family Counseling Center Pllc clinic are as mentioned below.
NPI Number:
1912214792
NPI Enumeration Date:
01 Sep, 2010
NPI Last Update On:
24 Feb, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Desoto Family Counseling Center Pllc are as mentioned below.
Specialization
License Number
State
Status
Community/behavioral Health
1326
Mississippi
Primary
Mental Health
Secondary
Professional
Secondary
Psychiatry
Mississippi
Secondary
Pediatrics
Secondary
Occupational Therapist
Secondary
Speech-language Pathologist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02332763
Medicaid
Mississippi
03458834
Medicaid
Mississippi
09250853
Medicaid
Mississippi
04057773
Medicaid
Mississippi
04073099
Medicaid
Mississippi
09485302
Medicaid
Mississippi
1558401521
Medicaid
Mississippi
01128006
Medicaid
Mississippi
03322249
Medicaid
Mississippi
03350341
Medicaid
Mississippi
05103380
Medicaid
Mississippi
05476356
Medicaid
Mississippi
09588552
Medicaid
Mississippi
00432297
Medicaid
Mississippi
01924277
Medicaid
Mississippi
08579847
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Desoto Family Counseling Center Pllc 8626 Airways Blvd, Southaven, Mississippi
Zip:
38671-2603
Phone Number:
662-772-5937
Fax Number:
662-772-5940
Patients can reach Desoto Family Counseling Center Pllc at 8626 Airways Blvd, Southaven, Mississippi or can call to book an appointment on 662-772-5937. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.