SOLID GROUND RECOVERY LLC (NPI# 1215572102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215572102 |
Entity Type | Organization |
Organization Name | SOLID GROUND RECOVERY LLC |
Practice Address |
126 Westover Dr Hattiesburg MS 39402-1329 |
Mailing Address |
Po Box 16688 Hattiesburg MS 39404-6688 |
Practice Telephone | 6013367392 |
Practice Fax Number | 6014027941 |
Mailing Telephone | 6013367392 |
Mailing Fax Number | 6014027941 |
Enumeration Date | 2019-11-14 |
Last Update Date | 2019-11-14 |
Authorized Official Name | CHRIS BELL (CEO) |
Authorized Official Telephone | 6013367392 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
126 WESTOVER DR |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-1329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
Find all providers in zip 39402 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104117688 | Gerald B Broussard Jr. | Internal Medicine | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2011-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164518874 | John Thomas Barringer | Internal Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2006-10-04 |
1730289802 | Lloyd James Gordon IIi | Internal Medicine | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2006-09-25 |
1306840871 | William R. Fellows, Md | Internal Medicine | 180 Debuys Rd, Ste 130, Biloxi, MS 39531-4402 | 2005-06-11 |
1699897066 | Carl Alvin Faulks | Internal Medicine | 450 E Pass Rd, Suite 3, Gulfport, MS 39507-3212 | 2007-04-04 |
1396814794 | James J Kramer | Internal Medicine | 405 Fontaine Pl, Suite 101, Ridgeland, MS 39157-5228 | 2006-11-07 |
City | HATTIESBURG |
Zip Code | 39402 |
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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.