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

Primary and Behavioral Healthcare Services, PA

Organization Mental Health Counselor · NPI 1679135982

Primary and Behavioral Healthcare Services, PA provides Mental Health Counselor services in Jackson, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

717 E Fortification St
Jackson, MS 39202-2402
Phone: (769) 572-4009
Fax: (769) 572-4021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1679135982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shameca Hudson — Ceo · (769) 572-4009
NPI enumeratedJuly 8, 2019
Last updated in NPPESOctober 28, 2019
Mailing address717 E Fortification St, Jackson, MS 39202-2402

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