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Genesis Behavioral Health Services, LLC

NPI 1265043962ActiveOrganization· Psychologist· Ridgeland, MS

Psychologist in Ridgeland, Mississippi, registered in NPPES in August 2020. The authorized official on file is Shannon Monique Moore, PHD, Manager.

Overview

NPI1265043962
StatusActive
Entity typeOrganization
NPI issuedAug 14, 2020
Last updated in NPPESAug 14, 2020
Certified by providerAug 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist providers in Ridgeland

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