SANTANA POLK PCMHT
NPI 1942043567
Counselor - Mental Health in Bay St Louis, MS
Active since June 13, 2024
About Santana Polk Pcmht NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTANA POLK PCMHT (NPI 1942043567) is an individual mental health provider in Bay St Louis, Mississippi, licensed in Mississippi (5453) and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1942043567
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSANTANA POLKCredential: PCMHT
Location Address819B CENTRAL AVEBay St Louis, MS 39520-3913
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Phone(228) 220-5454
Sole ProprietorNo
Enumeration DateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1942043567 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MS · 5453
819B CENTRAL AVE, Bay St Louis, MS 39520
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
819B CENTRAL AVE
BAY ST LOUIS, MS 39520
BAY ST LOUIS, MS 39520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942043567, enumerated as an "individual" on June 13, 2024.
The provider is located at 819B CENTRAL AVE BAY ST LOUIS, MS 39520 and the phone number is (228) 220-5454.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
