Region 8 Mh/mr Commission
Mental Retardation & Developmental Disabilities - Psychology Clinic
613 Marquette Road, Brandon
Mississippi, 39042
601-824-0342 601-824-0349
Maps & DirectionsRegion 8 Mh/mr Commission is a Mental Retardation & Developmental Disabilities - Psychology Clinic in Brandon, Mississippi. It is located at 613 Marquette Road, Brandon, MS and its contact number is 601-824-0342. The authorized person for Region 8 Mh/mr Commission is Dave Van
who is Executive Director of the clinic and his/her contact number is 601-824-0342. The primary license number for Region 8 Mh/mr Commission is R08-BMR-WAC-PREVOC-0 (Mental Retardation & Developmental Disabilities) in Mississippi.
Region 8 Mh/mr Commission Clinic
Complete Clinic Profile:
Region 8 Mh/mr Commission Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Region 8 Mh/mr Commission |
| Specialization: | Mental Retardation & Developmental Disabilities Psychology |
| Clinic Address: | 613 Marquette Road, Brandon,
Mississippi, 39042 |
| Phone: | 601-824-0342 |
| Fax: | 601-824-0349 |
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: | Dave Van |
| Position: | Executive Director |
| Contact Number: | 601-824-0342 |
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 Region 8 Mh/mr Commission clinic are as mentioned below.
| NPI Number: | 1306178694 |
| NPI Enumeration Date: | 11 Feb, 2010 |
| NPI Last Update On: | 27 Jun, 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 Region 8 Mh/mr Commission are as mentioned below.
| Specialization | License Number | State | Status | |
| Mental Retardation & Developmental Disabilities | R08-BMR-WAC-PREVOC-0 | Mississippi | Primary | |
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 |
| 007700402 | 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: | Region 8 Mh/mr Commission
Po Box 88, 613 Marquette Road
Brandon, Mississippi |
| Zip: | 39042 |
| Phone Number: | 601-824-0342 |
| Fax Number: | 601-824-0349 |
Patients can reach Region 8 Mh/mr Commission at
613 Marquette Road, Brandon, Mississippi or can
call to book an appointment on 601-824-0342.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.