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MID SOUTH PSYCH SERVICES, PLLC
NPI 1558856609
Nurse Practitioner - Psychiatric/Mental Health in Bolivar, TN

Active since June 29, 2018
206 STEVENS RD, BOLIVAR, TN 38008(731) 609-6096(865) 246-2106 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid South Psych Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID SOUTH PSYCH SERVICES, PLLC (NPI 1558856609) is a healthcare organization registered as a psychiatric/mental health in Bolivar, Tennessee and active in the NPI registry since June 2018. The organization lists Mary Jane Allen, Owner, as its authorized official.

NPPES Registry Identity

NPI1558856609
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMID SOUTH PSYCH SERVICES, PLLC
Location Address206 STEVENS RDBolivar, TN 38008-1120
Mailing AddressPo Box 5777Maryville, TN 37802-5777 · (865) 246-2104 · Fax (865) 246-2106
Phone(731) 609-6096
Fax(865) 246-2106
Organization SubpartNo
Authorized OfficialMary Jane AllenOwner · (731) 609-6096
Enumeration DateJune 29, 2018
✔ NPI 1558856609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
206 STEVENS RD, Bolivar, TN 38008
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid South Psych Services, PLLC's NPI number?

The NPI number for Mid South Psych Services, PLLC is 1558856609. It was assigned to this organization in the NPPES registry on June 29, 2018.

Where is Mid South Psych Services, PLLC located?

Mid South Psych Services, PLLC is located at 206 Stevens Rd, Bolivar, TN 38008. The listed phone number is (731) 609-6096.

What is Mid South Psych Services, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mid South Psych Services, PLLC was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.