Organization · Type 2 NPI
Desoto Family Wellness Center, LLC
Multi-Specialty Clinic/Center · Southaven, MS
NPI number
1376143024
Active
Practice location
3495 Cobblestone Blvd S
Southaven, MS 38672-7075
Fax (662) 892-2889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
4 other providers at this address
- Amanda S. Savage, FNPNurse Practitioner Southaven, MS NPI 1871865717
- Dana Faith Gilbert, FNP-CFamily Nurse Practitioner Southaven, MS NPI 1992423602
- Jennifer B. Warren, FNP-CFamily Nurse Practitioner Southaven, MS NPI 1174872626
- Lauren Elizabeth Lynn Stephens, LMSWSocial Worker Southaven, MS NPI 1578345310
Other multi-specialty clinic/center providers in Southaven
About NPI 1376143024
Desoto Family Wellness Center, LLC's National Provider Identifier is 1376143024, issued on Oct 30, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Southaven, MS. The record was last updated on Sep 18, 2023.