Provider Demographics
NPI:1881560431
Name:SOUTH MISSISSIPPI BEHAVIORAL MEDICINE SOLUTIONS
Entity type:Organization
Organization Name:SOUTH MISSISSIPPI BEHAVIORAL MEDICINE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD, DBSM
Authorized Official - Phone:228-238-4095
Mailing Address - Street 1:10189 LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39565-2010
Mailing Address - Country:US
Mailing Address - Phone:228-238-4095
Mailing Address - Fax:
Practice Address - Street 1:10189 LAKE FOREST DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39565-2010
Practice Address - Country:US
Practice Address - Phone:228-238-4095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty