PHYLLIS A GRINSTEAD

HATTIESBURG, MS
NPI1013149301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  1824)
Enumeration Date2009-08-20
Last Update Date2009-08-20
Business Address
-- PHYLLIS A GRINSTEAD PCMHT
4001 MAMIE ST
HATTIESBURG, MS 39402
Phone number: 601-705-1901
Mailing Address
-- PHYLLIS A GRINSTEAD PCMHT
4001 MAMIE ST
HATTIESBURG, MS 39402
Phone number: 601-705-1901