Provider Demographics
NPI:1386272094
Name:MISSISSIPPI BEHAVIORAL HEALTH CARE, LLC
Entity type:Organization
Organization Name:MISSISSIPPI BEHAVIORAL HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCLYNSKI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-235-1668
Mailing Address - Street 1:301 APACHE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-6309
Mailing Address - Country:US
Mailing Address - Phone:601-324-3058
Mailing Address - Fax:601-324-3090
Practice Address - Street 1:301 APACHE DR STE 2
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-6309
Practice Address - Country:US
Practice Address - Phone:601-324-3058
Practice Address - Fax:601-324-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-29
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health