Stone Of Hope Psychiatry & Addiction, LLC
Nurse Practitioner, Psych/Mental Health in Pontotoc, MS. Organization (NPI-2).
NPI number1124874086
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1124874086
- Entity type
- Organization (NPI-2)
- Legal business name
- Stone Of Hope Psychiatry & Addiction, LLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Stone Of Hope (Other Name)
Practice location
2352c Highway 15 NPontotoc, MS 38863-8998
Phone 662-597-7977
Mailing address
2352c Highway 15 NPontotoc, MS 38863-8998
Phone 662-597-7977
Authorized official
Emily McCormac
Ceo
6625977977
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