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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATTRINA ROACH

Active Organization

Community/Behavioral Health · SOUTHAVEN, MS

Registration Details

NPI Number
1578937199
Provider Type
Organization
NPI Issued
Nov 19, 2015 (10.431746281583 yrs)
Last Updated
Nov 19, 2015
License
2041 (MS)

Practice Information

Address
1622 MONTYS CIR
SOUTHAVEN, MS, 386728547
Browse MS providers · Browse ZIP 38672
Phone
6624041134
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.