ENHANCED DESTINY SERVICES (NPI# 1578097069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578097069 |
| Entity Type | Organization |
| Organization Name | ENHANCED DESTINY SERVICES |
| Practice Address |
406 Rayburn Rd Carriere MS 39426-8381 |
| Practice Telephone | 6015906526 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | LISA ELLIS (HUMAN RESOURCES) |
| Authorized Official Telephone | 5043736877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | ========= | LA | Agencies |
| Street Address |
406 RAYBURN RD |
| City | CARRIERE |
| State | MS |
| Zip Code | 39426-8381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265961023 | Amanda Taylor | Community/Behavioral Health | 406 Rayburn Rd, Carriere, MS 39426-8381 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689866477 | Lambert Dental PC | Dentist | 6480 Hwy 11 North, Carriere, MS 39426 | 2007-08-15 |
| 1427115641 | Aquatic Therapy Services, LLC | Clinic/Center | 10 Carrie Mitchell Rd, Carriere, MS 39426 | 2007-01-03 |
| 1285108662 | Sara A Duncan | Family Medicine | 200 Country Club Rd, Carriere, MS 39426 | 2019-01-18 |
| 1619008174 | Forrest County General Hospital | Internal Medicine | 200 Country Club Rd, Carriere, MS 39426 | 2007-03-08 |
| 1679035273 | Align Health LLC | Non-emergency Medical Transport (VAN) | 74 Pops Rdg, Carriere, MS 39426-5142 | 2019-04-02 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1235200304 | John W Houston | Physical Therapist | 48 Camellia Rd, Carriere, MS 39426-7077 | 2006-11-12 |
| 1093927220 | Devereux and Nguyen LLC | Dentist | 6420 Highway 11, Suite C, Carriere, MS 39426-7145 | 2007-05-03 |
| 1790274603 | Gregory Goggans, D.m.d., P.C. | Dentist | 6420 Highway 11 N Ste C, Carriere, MS 39426-7146 | 2018-05-07 |
| 1407358146 | Melissa Loewen | Specialist/Technologist | 7407 Highway 11, Carriere, MS 39426-7484 | 2018-03-07 |
| Find all providers in zip 39426 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265961023 | Amanda Taylor | Community/Behavioral Health | 406 Rayburn Rd, Carriere, MS 39426-8381 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738618 | 360inc. | Community/Behavioral Health | 8547 Highway 178, Byhalia, MS 38611-9670 | 2020-10-18 |
| 1407469141 | Life Seasons Counseling, LLC | Community/Behavioral Health | 116 N Columbia St, Pontotoc, MS 38863-2002 | 2020-08-24 |
| 1255959888 | Empowering Minds Counseling and Consultant Services,llc | Community/Behavioral Health | 1114 Robinson St # A, Ocean Springs, MS 39564-3842 | 2020-07-09 |
| 1194349795 | Creative Sisters Counseling LLC | Community/Behavioral Health | 134 Fairmont St Ste C, Clinton, MS 39056-4739 | 2020-05-31 |
| 1386272094 | Mississippi Behavioral Health Care, LLC | Community/Behavioral Health | 1312 Harrison Ave Ste C, Mccomb, MS 39648-2805 | 2020-03-29 |
| 1538703053 | Quest Fitness | Community/Behavioral Health | 1693 Lakeover Rd, Jackson, MS 39213-8015 | 2019-10-29 |
| 1265080576 | Health Connect America, Inc | Community/Behavioral Health | 104 Highway 15 N, New Albany, MS 38652-5313 | 2019-08-29 |
| 1326502535 | V.k. Johnson, Lcsw & Consultants, LLC | Community/Behavioral Health | 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 | 2019-01-22 |
| 1801362264 | Solution Journey Counseling, LLC | Community/Behavioral Health | 301 Humble Ave Ste 160, Hattiesburg, MS 39401-6343 | 2018-10-23 |
| 1316412646 | Delta Counseling Services LLC | Community/Behavioral Health | 103 S Court St Ste 116, Cleveland, MS 38732-2651 | 2018-10-13 |
| Find all providers with the same taxonomy | ||||
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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.