Psychosocial Boutique, Pllc.

LBN: Psychosocial Boutique, Pllc.
Psychosocial Boutique, Pllc. is an health care organization with primary practice located at 1330 Sunset Dr , Grenada MS 38901-4000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Psychosocial Boutique, Pllc. can be contacted via phone (662) 892-2660, or through Winters, Syrenia Leslie via phone (662) 892-2660.

Contact Information

Primary practice address
1330 Sunset Dr Grenada MS 38901-4000
Phone: (662) 892-2660
Fax: (662) 892-2660
Website:
Map and Directions
Authorized official contact:
Name: Winters, Syrenia Leslie Licensed Clinical Social Worker (LCSW)
Phone: (662) 892-2660

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1841846904
LBN Legal business name Psychosocial Boutique, Pllc.
DBA Doing business as
Authorized official Winters, Syrenia Leslie Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2019
Last updated Feb 22nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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