Provider Demographics
NPI:1265254114
Name:TOP TIER THERAPY & PSYCHIATRY
Entity type:Organization
Organization Name:TOP TIER THERAPY & PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:QUARTIVIA
Authorized Official - Middle Name:RO'SCHELL
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:601-910-1168
Mailing Address - Street 1:PO BOX 1002
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39060-1002
Mailing Address - Country:US
Mailing Address - Phone:601-910-1168
Mailing Address - Fax:
Practice Address - Street 1:117 REMINGTON CV
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-4559
Practice Address - Country:US
Practice Address - Phone:601-910-1168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)