Mississippi Band of Choctaw Indians

Organization Active NPI Art Therapist · Choctaw, MS

NPI 1548093545 · NPPES record last updated Sep 23, 2024

Key facts

NPI
1548093545
Entity type
Organization (NPI type 2)
Primary specialty
Art Therapist 221700000X
Legal business name
MISSISSIPPI BAND OF CHOCTAW INDIANS
Practice address
210 Hospital Cir
Choctaw, MS 39350-6781
Phone
(601) 389-4147
NPI assigned
Aug 23, 2024
Organization subpart
No

Authorized official

Name
Mrs. Alexis Nicole Pyawasit-Vaughn, P-LPAT
Title
Expressive Art Specialist
Phone
(601) 389-4150

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
221700000X Yes

Addresses

Primary practice location

210 Hospital Cir
Choctaw, MS 39350-6781

Mailing address

210 Hospital Cir
Choctaw, MS 39350-6781
Phone (601) 389-4147

Other names

  • Choctaw Health Center Doing business as

Other providers in Choctaw, MS

All providers in Choctaw, MS · Art Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.