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Application materials will not be returned the All fees pertaining to DMH professional credentialing are nonrefundable and nontransferable. Mississippi Department of Mental Health DMH Division of Professional Licensure and Certification PLACE DMH PLACE Professional Credentialing DMH Licensed Administrator Application Forms LA Effective Date June 30 2017 CONTACT INFORMATION Bureau of Outreach Planning and Development OPD 1101 Robert E. Lee Building 239 North Lamar Street Jackson MS 39201...
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Step 1: Obtain the necessary form from the Mississippi Department of Mental website or visit their office.
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Step 2: Carefully read the instructions provided with the form to understand the requirements and procedures.
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Step 3: Begin filling out the form by providing accurate personal information such as your name, address, contact details, and social security number.
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Step 4: Answer all the questions on the form truthfully and to the best of your knowledge. If a question is not applicable, mark it accordingly.
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Step 8: Submit the filled-out form along with any necessary supporting documents to the designated address or office mentioned in the instructions.
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Step 10: Follow up with the Mississippi Department of Mental if you do not receive any acknowledgment or response within a reasonable time.

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Individuals who require mental health services in the state of Mississippi.
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The Mississippi Department of Mental Health is a state agency responsible for overseeing mental health services in the state of Mississippi.
Healthcare providers, facilities, and organizations providing mental health services in Mississippi are required to file with the Mississippi Department of Mental Health.
Providers can fill out the Mississippi Department of Mental Health forms online or submit them via mail.
The purpose of the Mississippi Department of Mental Health is to ensure that individuals in Mississippi have access to quality mental health services and support.
Providers are required to report information such as services provided, patient demographics, outcomes, and any incidents or issues that occur.
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