Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Behavioral Medicine Associates PLLC

Organization Cognitive & Behavioral Psychologist · NPI 1487950564

Southern Behavioral Medicine Associates PLLC is a Cognitive & Behavioral Psychologist in Hattiesburg, Mississippi. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Commerce Dr Ste 106
Hattiesburg, MS 39402-1499
Phone: (601) 255-1618
Fax: (601) 255-1619
Show map & directions

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

Specialties & licences

Health Psychologist (primary) Taxonomy 103TH0004X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1487950564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geralyn Datz — Clinical Director/Owner · (601) 255-1618
NPI enumeratedFebruary 7, 2011
Last updated in NPPESJanuary 15, 2013
Mailing addressPo Box 18799, Hattiesburg, MS 39404-8799