| NPI | 1821812389 |
|---|---|
| Other Name | STATE OF MIND PSYCHIATRY, INC. |
| Entity Type | Organization |
| Authorized Contact | JAMES HENDERSON Pmhnp Bc 662-268-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-28 |