OrganizationActive
Journeypure Mississippi Medical Group LLC
NPI 1780127845 · Addiction (Substance Use Disorder) Psychologist · Southaven, MS
Provider details
- NPI number
- 1780127845
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Kim Cooper, Human Resources
Practice location
8829 Centre St
Southaven, MS 38671-2610
Phone: (662) 536-6542
Fax: (662) 314-9689
Mailing address
8829 Centre St Ste 200
Southaven, MS 38671-2610
Registry dates
- Enumerated
- 2016-11-22
- Last updated
- 2020-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.