Region IV Mental Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REGION IV MENTAL HEALTH SERVICES

Practice address

1213 Maria Lane
Iuka, MS 38852-1135

Phone

(662) 423-3332

Fax

(662) 423-4331

NPI assigned

Apr 25, 2007

Organization subpart

Yes

Parent organization

REGION IV MENTAL HEALTH SERVICESAs reported in NPPES

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

Authorized official

Name

Charlie Spearman Sr.

Title

Executive Director

Phone

(662) 286-9883

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Southaven Services

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1942429907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350839",
            "telephone_number": "662-286-9883",
            "fax_number": "662-286-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MARIA LANE",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521135",
            "telephone_number": "662-423-3332",
            "fax_number": "662-423-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION IV MENTAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGION IV MENTAL HEALTH SERVICES",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-286-9883",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018204",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Putman, LPC
• Mary Elizabeth Raiford
• Haley Raper
• Reconnect Therapy
• Reconnect Wellness Iuka, LLC
• Region IV Mental Health Services Beacon House
• Megean Elaine Remedios, FNP-C
• Pamela Renee Richardson, BSW
• Regina Riddle, MS
• Megan Robbins, OT

• Community/Behavioral Health Agency in Iuka, MS
• Providers in Iuka, 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 Jul 3, 2008; 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.