OrganizationActive
Mcwillie Counseling & Diagnostic Services
NPI 1780852194 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, MS
Provider details
- NPI number
- 1780852194
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Delilah Moore, Clinical Director(601) 982-8624
- License
- 00281 (MS)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 00281 (MS)
Ambulatory Health Care Facilities
Practice location
5202 Keele St Ste 1
Jackson, MS 39206-4355
Phone: (601) 982-8624
Approximate (ZIP-level) locationGet directions
Mailing address
5202 Keele Street, Suite 1
Jackson, MS 39206
Registry dates
- Enumerated
- 2008-02-19
- Last updated
- 2008-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.