MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC (NPI# 1154868248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154868248 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC |
| Practice Address |
13251 Reece Bergeron Rd Biloxi MS 39532-7557 |
| Practice Telephone | 5613242140 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | SANDI BARNES (CEO) |
| Authorized Official Telephone | 5613242140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
13251 REECE BERGERON RD |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-7557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912535204 | Shannon N Makamson | Registered Nurse | 13251 Reece Bergeron Rd, Biloxi, MS 39532-7557 | 2020-03-31 |
| 1558880005 | Annamae Evans | Massage Therapist | 13251 Reece Bergeron Rd, Biloxi, MS 39532-7557 | 2017-09-15 |
| 1942726658 | Mississippi Doctors Group LLC | Counselor | 13251 Reece Bergeron Rd, Biloxi, MS 39532-7557 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1356727515 | Oxford Treatment Center, LLC | Clinic/Center | 9320 Railroad Ave, Olive Branch, MS 38654-2416 | 2015-08-10 |
| 1821248279 | Alternatives for Life Treatment & Recovery of Jackson LLC | Clinic/Center | 500d E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2008-09-23 |
| 1396288361 | Journeypure Southaven, LLC | Clinic/Center | 8829 Centre St, Southaven, MS 38671-2610 | 2016-11-23 |
| 1336681584 | Journeypure Southaven, LLC | Clinic/Center | 8829 Centre St, Southaven, MS 38671-2610 | 2016-11-04 |
| 1194101352 | Oxford Treatment Center, LLC | Clinic/Center | 341 E Main St, Tupelo, MS 38804-4025 | 2015-08-10 |
| 1619353877 | Oxford Treatment Center, LLC | Clinic/Center | 1916 University Ave, Oxford, MS 38655-4114 | 2015-08-10 |
| 1518341742 | Oxford Treatment Center, LLC | Clinic/Center | 297 County Road 244, Etta, MS 38627 | 2015-07-17 |
| 1053528901 | Golden Triangle Recovery Center, Inc. | Clinic/Center | 322 University Dr, Starkville, MS 39759-2955 | 2007-05-17 |
Please comment or provide details below to improve the information on MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.