Iconic Mind

Case Manager/Care Coordinator · Madison, MS

Organization Active NPI

NPI number 1801430590

Practice location

102 Crabapple GRV
Madison, MS 39110-7098
Phone
(601) 918-8041

Open in Google Maps

NPI record

NPI
1801430590
Entity type
Organization (Type 2)
Enumeration date
November 5, 2019
Last updated
January 4, 2021
Certified
January 4, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

1888 Main St Ste C
Madison, MS 39110-6337
Phone
(601) 918-8041

Authorized official

Name
Miss Kimberly Michelle Horton, LCSW
Title
Owner
Phone
(601) 918-8041

About Iconic Mind

Iconic Mind is a healthcare organization registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 102 Crabapple GRV, Madison, MS 39110-7098. The NPI number 1801430590 was assigned on November 5, 2019 and the record was last updated on January 4, 2021.

The authorized official for this organization is Miss Kimberly Michelle Horton, LCSW, Owner.

Frequently asked questions

What is the NPI number of Iconic Mind?

The NPI number is 1801430590.

What is the phone number of Iconic Mind?

The phone number listed for the practice location is (601) 918-8041.

Where is Iconic Mind located?

102 Crabapple GRV, Madison, MS 39110-7098.

What is the taxonomy code for Iconic Mind?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.