Panther Creek Foundation

Organization Active NPI Mental Health Counselor · Nesbit, MS

NPI 1558035055 · NPPES record last updated Aug 6, 2021

Key facts

NPI
1558035055
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
PANTHER CREEK FOUNDATION
Practice address
5750 Conger Rd
Nesbit, MS 38651-8898
Phone
(662) 912-5440
NPI assigned
Aug 6, 2021
Organization subpart
No

Authorized official

Name
Mylissa Horrocks, MPH
Title
Executive Director
Phone
(901) 574-1740

Practitioners 2

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
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

5750 Conger Rd
Nesbit, MS 38651-8898

Mailing address

2531 Shillingford Dr
Memphis, TN 38119-7820
Phone (901) 574-1740

Other names

  • Panther Creek Health Doing business as

Other providers in Nesbit, MS

All providers in Nesbit, MS · Mental Health Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.