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.
| Name: | Desoto Family Counseling Center Pllc |
| Specialization: | Psychiatry |
| Clinic Address: | 8626 Airways Blvd, Southaven,
Mississippi, 38671-2603 |
| Phone: | 662-772-5937 |
| Fax: | 662-772-5940 |
Authorized/Official Person Profile:
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 13 May, 2024.