REGION IV MENTAL HEALTH SERVICES-DESOTO ADULTS (NPI# 1821396706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821396706 |
| Entity Type | Organization |
| Organization Name | REGION IV MENTAL HEALTH SERVICES-DESOTO ADULTS |
| Practice Address |
2705 Highway 51 S Hernando MS 38632-2634 |
| Mailing Address |
Po Box 839 Corinth MS 38835-0839 |
| Practice Telephone | 6624491971 |
| Practice Fax Number | 6624491974 |
| Mailing Telephone | 6624491971 |
| Mailing Fax Number | 6624491974 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |
| Authorized Official Name | MR. CHARLIE SPEARMAN SR. (EXECUITIVE DIRECTOR) |
| Authorized Official Telephone | 6622869883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2705 HIGHWAY 51 S |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841339512 | James O White | Public Health or Welfare | 2705 Highway 51 S, Desoto County Health Dept., Hernando, MS 38632-2634 | 2007-02-06 |
| 1174165435 | Arkeshia Ware | Counselor | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2019-10-08 |
| 1982256343 | Shakisa Richardson | Case Manager/Care Coordinator | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2019-07-15 |
| 1518426162 | Renee Elizabeth Reichert | Registered Nurse | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2019-03-13 |
| 1588130041 | Hannah Herndon | Nurse Practitioner | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2018-10-22 |
| 1760961957 | Semeca Fanchon Mclawyer | Counselor | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2018-08-09 |
| 1659850899 | Cormelanie Shondell Chillous | Counselor | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2018-08-08 |
| 1821580598 | Joy Delony Traylor | Counselor | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2018-05-30 |
| 1396110847 | Samantha Minyard | Counselor | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2015-12-09 |
| 1124403498 | Ngeche Gang | Counselor | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2015-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| 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 |
|---|---|---|---|---|
| 1356705156 | Region Iv Mental Health Service | Community/Behavioral Health | 2725 Highway 51 S, Hernando, MS 38632-2634 | 2016-04-07 |
| 1134581028 | Professional Counseling Pllc | Community/Behavioral Health | 190 W South St, Hernando, MS 38632-2245 | 2016-03-22 |
| 1538524582 | Renewed Minds Pllc | Community/Behavioral Health | 190 W South St, Hernando, MS 38632-2245 | 2015-12-17 |
| 1689065724 | Region Iv Mental Health Services | Community/Behavioral Health | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2015-02-11 |
| 1598062101 | Region Iv Mental Health Services-desoto Childrens | Community/Behavioral Health | 2725 Highway 51 S, Hernando, MS 38632-2634 | 2011-02-16 |
| 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 |
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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.