NORTHEAST MENTAL HEALTH-MENTA
NPI 1801828496
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tupelo, MS

Q: What is Northeast Mental Health/Mental Retardation Commission's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since July 06, 2006

2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4695(662) 680-6416 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2020, Feb 27, 2020 (2 updates tracked since 2020).

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About Northeast Mental Health-menta NPPES

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

NORTHEAST MENTAL HEALTH-MENTA (NPI 1801828496) is a healthcare organization registered as a mental health (including community mental health center) in Tupelo, Mississippi and active in the NPI registry since July 2006. The organization lists Raquel Rosamond, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801828496

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameNORTHEAST MENTAL HEALTH/MENTAL RETARDATION COMMISSION

Location Address2434 S EASON BLVDTupelo, MS 38804-6942

Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595 · Fax (662) 680-6416

Phone(662) 640-4695

Fax(662) 680-6416

Organization SubpartNo

Authorized OfficialRaquel RosamondExecutive Director · (662) 640-4595

Enumeration DateJuly 6, 2006

Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1801828496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

2434 S EASON BLVD, Tupelo, MS 38804

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Other Names 1

Doing Business AsNortheast Mental Health-menta

Other Identifiers 1

Medicaid00018203MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY BROWN

Counselor (Mental Health)