ILLUMINATED DIRECTION (NPI# 1679184980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679184980 |
| Entity Type | Organization |
| Organization Name | ILLUMINATED DIRECTION |
| Practice Address |
1903 Pass Rd Biloxi MS 39531-4119 |
| Practice Telephone | 2282099482 |
| Practice Fax Number | 6018844466 |
| Mailing Telephone | 2282099482 |
| Mailing Fax Number | 6018844466 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | MR. JONATHAN LACEWELL (OWNER) |
| Authorized Official Telephone | 9194506446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06307760 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780102335 | Illuminated Direction | Health Maintenance Organization | 6116 Rolling Road Suite 104, Springfield, VA 22152 | 2017-09-05 |
| 1609286145 | Illuminated Direction | Health Maintenance Organization | 800 N Mangum St Ste 104, Durham, NC 27701-2260 | 2014-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Illuminated Direction LLC | 6116 Rolling Road, Suite 104, Springfield, Virginia 22152 |
| Street Address |
1903 PASS RD |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144380874 | Gail H Johnson | Social Worker | 1903 Pass Rd, Suite E, Biloxi, MS 39531-4103 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700442779 | Va Gulf Coast Veterans Healthcare | Clinic/Center | 400 Veterans Ave # Mc122, Biloxi, MS 39531-2410 | 2019-05-15 |
| 1851359780 | Beacon Behavioral Health Gulf Coast Inc | Clinic/Center | 12450 Shortcut Road, Suite E, Biloxi, MS 39532 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436003 | Sessoms Therapeutic Counseling and Consulting Services, LLC | Clinic/Center | 232 Market St Ofc 230, Flowood, MS 39232-3339 | 2020-10-29 |
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1336753201 | Feelings Matter Counseling Services LLC | Clinic/Center | 2144 Second St, Natchez, MS 39120-2767 | 2020-09-08 |
| 1679185136 | Where Positivity Grows | Clinic/Center | 121 Hanover St, Madison, MS 39110-6028 | 2020-08-17 |
| 1750908182 | Horizon Connections | Clinic/Center | 1818 Crane Ridge Dr Ste 101, Jackson, MS 39216-4912 | 2020-07-01 |
| 1003432626 | Positive Innergy Counseling Services, LLC | Clinic/Center | 6562 King Rd, Meridian, MS 39305-8364 | 2020-06-19 |
| 1548894488 | Day To Day Counseling and Consulting | Clinic/Center | 1389 Cliff Gookin Blvd Ste D, Tupelo, MS 38801-6458 | 2020-03-01 |
| 1174157689 | Sound Mind Psychiatry Pllc | Clinic/Center | 105 W Hamilton St, Houston, MS 38851-2209 | 2020-02-24 |
| 1427693944 | Green Spot Wellbeing LLC | Clinic/Center | 100 Front Ave, Indianola, MS 38751-2461 | 2019-11-07 |
| 1164071981 | Community Care Group LLC | Clinic/Center | 54 E Franklin St, Natchez, MS 39120-3665 | 2019-09-04 |
| 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.