Healthtech Behavioral Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEALTHTECH BEHAVIORAL HEALTH CENTER

Practice address

4807 N State St
Suite 301
Jackson, MS 39206-4826

Phone

(601) 981-5660

Fax

(601) 981-5661

NPI assigned

Nov 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Wallace

Title

President

Phone

(601) 981-5660

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1144694027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392861101",
            "telephone_number": "601-981-5660",
            "fax_number": "601-981-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 N STATE ST",
            "address_2": "SUITE 301",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064826",
            "telephone_number": "601-981-5660",
            "fax_number": "601-981-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTECH BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-981-5660"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.