Provider Demographics
NPI:1578751723
Name:MISSISSIPPI FAMILIES FOR KIDS
Entity Type:Organization
Organization Name:MISSISSIPPI FAMILIES FOR KIDS
Other - Org Name:MFFK
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADEANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CATTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-957-7670
Mailing Address - Street 1:407 BRIARWOOD DR STE 209
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39206-3036
Mailing Address - Country:US
Mailing Address - Phone:601-957-7670
Mailing Address - Fax:601-957-7640
Practice Address - Street 1:407 BRIARWOOD DR STE 209
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-3036
Practice Address - Country:US
Practice Address - Phone:601-957-7670
Practice Address - Fax:601-957-7640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
MSC1127251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health