Provider Demographics
NPI:1194616359
Name:FAITH OF A MUSTARD SEED PSYCHIATRIC WELLNESS, PLLC
Entity type:Organization
Organization Name:FAITH OF A MUSTARD SEED PSYCHIATRIC WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARGARET
Authorized Official - Middle Name:SHONTA
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:662-356-3816
Mailing Address - Street 1:5600 GOODMAN RD STE H
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-7002
Mailing Address - Country:US
Mailing Address - Phone:662-356-3816
Mailing Address - Fax:662-200-4271
Practice Address - Street 1:5600 GOODMAN RD STE H
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-7002
Practice Address - Country:US
Practice Address - Phone:662-356-3816
Practice Address - Fax:662-200-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty