Boudreaux Mental Health Services
Organization Active NPI Adult Mental Health Clinic/Center · Brandon, MS
NPI 1154580579 · NPPES record last updated Jun 2, 2008
Key facts
- NPI
- 1154580579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- R850842 (MS)
- Legal business name
- BOUDREAUX MENTAL HEALTH SERVICES
- Practice address
- 98 Burnham Rd
Suite a
Brandon, MS 39042-2759 - Phone
- (601) 664-0204
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Kathleen Marie Foley, RN, PMHNP
- Title
- Owner
- Phone
- (601) 616-1439
Practitioners 5
-
Marshall Edward Belaga, M.D.
-
Sarah Jane Leath, FPMHNP
-
John Westbrook Norton, M.D.
-
Kathleen Marie Boudreaux, P.M.H.N.P.
National Provider Directory
Locations
98 Burnham Rd
Ste A
Brandon, MS 39042
Phone (601) 664-0204
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | R850842 | MS | Yes |
Addresses
Primary practice location
98 Burnham Rd
Suite a
Brandon, MS 39042-2759
Mailing address
98 Burnham Rd
Suite a
Brandon, MS 39042-2759
Phone (601) 664-0204
Other providers in Brandon, MS
- Sandra J Bonom
- Ritha G Bookert
- Melissa Bordelon Shields
- Merikelly Borgognoni
- Lyinka Nicole Boston
- Lindsey Ferguson Bounds
- Jonathan Gaston Box
- Jasmonique Boyd
- Savanna Boyd
- Kailee Boylan
All providers in Brandon, MS · Adult Mental Health Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.