THE WELLNESS CENTER OF OXFORD LLC (NPI# 1962990465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962990465 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS CENTER OF OXFORD LLC |
| Practice Address |
304 Enterprise Dr Oxford MS 38655-2762 |
| Practice Telephone | 6623711711 |
| Practice Fax Number | 6623711711 |
| Mailing Telephone | 6623711711 |
| Mailing Fax Number | 6623711711 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | DR. PHILIP BAQUIE (OWNER) |
| Authorized Official Telephone | 6623711711 |
| Authorized Official Credential | PSYD, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
304 ENTERPRISE DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770935595 | Oxford Counseling Center, LLC | Counselor | 304 Enterprise Dr, Oxford, MS 38655 | 2016-07-05 |
| 1912485319 | Allison Boyd Layton | Counselor | 304 Enterprise Dr, Oxford, MS 38655-2762 | 2018-07-30 |
| 1700302007 | Eric Suddeath | Counselor | 304 Enterprise Dr, Oxford, MS 38655-2762 | 2017-08-17 |
| 1275053373 | Kimberly Suddeath | Dietitian, Registered | 304 Enterprise Dr, Oxford, MS 38655-2762 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376939975 | Oxford University Eyecare Pllc | Clinic/Center | 2708 W Oxford Loop, 110, Oxford, MS 38655-5714 | 2015-04-09 |
| 1104050442 | Tylah No.1 | Clinic/Center | 308 Sycamore St, Oxford, NC 27565-3508 | 2009-05-13 |
| 1962009282 | Mzh Eye Care Professionals of Oxford PC | Clinic/Center | 92 Plaza Ln, Oxford, AL 36203-2440 | 2020-10-09 |
| 1669879532 | Lyndsay R Shipp Md Pllc | Clinic/Center | 705 Sisk Ave Ste 105, Oxford, MS 38655-3413 | 2014-11-20 |
| 1770806366 | Wade Clinic of Chiropractic, PC | Clinic/Center | 620 Quintard Dr, Suite 201, Oxford, AL 36203-1840 | 2010-03-10 |
| 1689835639 | Bmh North Mississippi Imaging Services, LLC | Clinic/Center | 504 Azalea Dr, Oxford, MS 38655-5397 | 2008-06-23 |
| 1326148578 | Rayner Eye Clinic, LLC | Clinic/Center | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2006-09-25 |
| 1922016583 | Alabama Hma Physician Management | Clinic/Center | 620 Quintard Dr, Oxford, AL 36203-1840 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080337 | Traditions Hospice of Biloxi, LLC | Clinic/Center | 243 Beauvoir Rd Ste B, Biloxi, MS 39531-4008 | 2020-10-15 |
| 1386242097 | Traditions Hospice of Ridgeland, LLC | Clinic/Center | 680 Highway 51 Ste L, Ridgeland, MS 39157-2103 | 2020-10-14 |
| 1346848694 | Hayco LLC | Clinic/Center | 425 S Jackson St, Brookhaven, MS 39601-3817 | 2020-10-09 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1023628245 | Durrett Health Care LLC | Clinic/Center | 1515 Munsford Dr, New Albany, MS 38652-7407 | 2020-08-03 |
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1104447507 | Grace & Mercy Healthcare Center | Clinic/Center | 131 Lexington St, Pickens, MS 39146-3914 | 2020-04-27 |
| 1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
| 1669018008 | Maximum Care After Hours Clinic, LLC | Clinic/Center | 212 Highway 61, Shaw, MS 38773-3877 | 2019-11-20 |
| 1598316895 | Florence Health Complex, LLC | Clinic/Center | 130 S Church St, Florence, MS 39073-8478 | 2019-09-27 |
| 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.