Psycamore LLC
Psycamore LLC is a healthcare organization registered as Adult Mental Health Clinic/Center in Southaven, MS, holding Type 2 (organization) NPI 1770886012 since 2010. The authorized official on file is Carol Williams, Adult Clinical Manger.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770886012 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Psycamore LLC |
| Practice address | 7165 GETWELL RD, Southaven, MS, 38672 |
| Phone | 6623492818 |
| Enumeration date | 2010-12-08 |
| Last updated in NPPES | 2010-12-08 |
Authorized official
| Name | Carol Williams |
|---|---|
| Title | Adult Clinical Manger |
| Phone | 6623492818 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0850X | Adult Mental Health Clinic/Center | Primary | LPC 1510 | MS |
Copy-ready billing details
Provider: Psycamore LLC NPI: 1770886012 Taxonomy: 261QM0850X (Adult Mental Health Clinic/Center) Address: 7165 GETWELL RD, Southaven, MS, 38672
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831386747 | Jerry Hamilton | Individual | Clinical Social Worker | Southaven, MS |
| 1073798781 | Jeff Cunningham | Individual | Otolaryngology Physician | Southaven, MS |
| 1043465040 | Psycamore, LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Southaven, MS |
| 1790006674 | Northwest Mississippi Otolaryngology Head & Neck Surgery, LLC | Organization | Otolaryngology Physician | Southaven, MS |
| 1659653012 | Sarah Williams | Individual | Audiologist | Southaven, MS |
| 1427495571 | Hannah Giles | Individual | Speech-Language Pathologist | Southaven, MS |
| 1750895199 | Kyle Routh | Individual | Mental Health Counselor | Southaven, MS |
| 1184582280 | Magnolia Speech Therapy of Mississippi | Organization | Hearing and Speech Clinic/Center | Southaven, MS |
Verify this record
Cross-check NPI 1770886012 against the authoritative CMS record: view Psycamore LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Psycamore LLC?
Who is the authorized official for Psycamore LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-12-08.