Journeypure Mississippi Medical Group LLC

Organization Addiction (Substance Use Disorder) Psychologist · NPI 1780127845

Journeypure Mississippi Medical Group LLC is an Addiction (Substance Use Disorder) Psychologist in Southaven, Mississippi. Registered with an NPI since 2016.

In the registry since: 2016

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

8829 Centre St
Southaven, MS 38671-2610
Phone: (662) 536-6542
Fax: (662) 314-9689

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary)	Taxonomy 103TA0400X

Record details

NPI number	1780127845
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Kim Cooper — Human Resources · (662) 536-6542
NPI enumerated	November 22, 2016
Last updated in NPPES	June 16, 2020
Certification date	June 16, 2020
Mailing address	8829 Centre St Ste 200, Southaven, MS 38671-2610