Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Mental Health-Mental Retardation Commission

Organization Multi-Specialty Clinic/Center · NPI 1548413628

Northeast Mental Health-Mental Retardation Commission provides Multi-Specialty Clinic/Center services in Tupelo, Mississippi. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

2434 S Eason Blvd
Tupelo, MS 38804-6942 Not confirmed with CMS for 12 years — call before visiting
Phone: (662) 844-1717
Fax: (662) 680-6416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1548413628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Stall — Cfo · (662) 844-1717
Other names Lifecore Health Group
NPI enumeratedNovember 3, 2008
Last updated in NPPESMarch 20, 2014
Mailing address2434 S Eason Blvd, Tupelo, MS 38804-6942

Other providers in Tupelo