Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY VELASQUEZ PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, LLC
NPI 1033819511
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS

Active since March 03, 2023
6858 SWINNEA RD BLDG 3B, SOUTHAVEN, MS 38671(662) 420-2418(855) 529-1633 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY VELASQUEZ PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, LLC (NPI 1033819511), doing business as Desoto Psychiatric Care, is a healthcare organization registered as a psychiatric/mental health in Southaven, Mississippi and active in the NPI registry since March 2023. The organization lists Kelly Lynn Velasquez, Owner, as its authorized official.

NPPES Registry Identity

NPI1033819511
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKELLY VELASQUEZ PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, LLC
Location Address6858 SWINNEA RD BLDG 3BSouthaven, MS 38671-9493
Mailing Address6858 Swinnea Rd Bldg 3bSouthaven, MS 38671-9493 · (662) 420-5160
Fax(855) 529-1633
Organization SubpartNo
Authorized OfficialKelly Lynn VelasquezOwner · (662) 420-2418
Enumeration DateMarch 3, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1033819511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6858 SWINNEA RD BLDG 3B, Southaven, MS 38671

Other Names 1

Doing Business AsDesoto Psychiatric Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
6858 SWINNEA RD BLDG 3B
SOUTHAVEN, MS 38671
Nurse Practitioner (Psychiatric/Mental Health)
6858 SWINNEA RD BLDG 3B
SOUTHAVEN, MS 38671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC's NPI number?

The NPI number for Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC is 1033819511. It was assigned to this organization in the NPPES registry on March 3, 2023. The provider is doing business as DeSoto Psychiatric Care.

Where is Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC located?

Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC is located at 6858 Swinnea Rd Bldg 3B, Southaven, MS 38671. The listed phone number is (662) 420-2418.

What is Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.