OrganizationActive
Mmo of Hattiesburg, LLC
NPI 1629022017 · Mental Health Clinic/Center (Including Community Mental Health Center) · Hattiesburg, MS
Provider details
- NPI number
- 1629022017
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Robert Miller, Ceo
Practice location
990 Hardy St
Suite 4
Hattiesburg, MS 39401-4161
Phone: (601) 602-0194
Fax: (601) 602-0197
Mailing address
728 North Blvd
Baton Rouge, LA 70802-5724
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2010-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.