MIDSOUTH BEHAVIORAL HEALTH, PLLC
NPI 1912084286
Psychologist - Clinical in Olive Branch, MS

Active since November 01, 2006
6810 CRUMPLER BLVD, SUITE 302, OLIVE BRANCH, MS 38654(662) 895-1707(662) 893-0388 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Midsouth Behavioral Health, Pllc NPPES

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

MIDSOUTH BEHAVIORAL HEALTH, PLLC (NPI 1912084286) is a healthcare organization registered as a clinical in Olive Branch, Mississippi and active in the NPI registry since November 2006. The organization lists Merry Nichols, Accts. Manager, as its authorized official.

NPPES Registry Identity

NPI1912084286
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMIDSOUTH BEHAVIORAL HEALTH, PLLC
Location Address6810 CRUMPLER BLVD, SUITE 302Olive Branch, MS 38654-1933
Mailing AddressPo Box 579Olive Branch, MS 38654-0579 · (662) 895-1707 · Fax (662) 893-0388
Fax(662) 893-0388
Organization SubpartNo
Authorized OfficialMerry NicholsAccts. Manager · (662) 895-1707
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1912084286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

6810 CRUMPLER BLVD, Olive Branch, MS 38654

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

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
6810 CRUMPLER BLVD, 101
OLIVE BRANCH, MS 38654
Counselor (Professional)
6810 CRUMPLER BLVD
OLIVE BRANCH, MS 38654
Social Worker (Clinical)
6810 CRUMPLER BLVD, SUITE 303
OLIVE BRANCH, MS 38654
Hospice Care, Community Based
6810 CRUMPLER BLVD
OLIVE BRANCH, MS 38654
Counselor (Professional)
6810 CRUMPLER BLVD, SUITE 302
OLIVE BRANCH, MS 38654
Counselor (Professional)
6810 CRUMPLER BLVD, SUITE 203
OLIVE BRANCH, MS 38654

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 Midsouth Behavioral Health, PLLC's NPI number?

The NPI number for Midsouth Behavioral Health, PLLC is 1912084286. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Midsouth Behavioral Health, PLLC located?

Midsouth Behavioral Health, PLLC is located at 6810 Crumpler Blvd Suite 302, Olive Branch, MS 38654. The listed phone number is (662) 895-1707.

What is Midsouth Behavioral Health, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Midsouth Behavioral Health, PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.