OrganizationActive
Delta Therapy Group, LLC
NPI 1437816162 · Mental Health Clinic/Center (Including Community Mental Health Center) · Indianola, MS
Provider details
- NPI number
- 1437816162
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Verlon Green, Provider(662) 207-1869
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
612 Sunflower Avenue Ext Ste 12
Indianola, MS 38751-2333
Phone: (662) 452-5072
Fax: (662) 452-5072
Approximate (ZIP-level) locationGet directions
Mailing address
612 Sunflower Avenue Ext Ste 12
Indianola, MS 38751-2333
Registry dates
- Enumerated
- 2021-11-17
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.