DESIGN YOUR WELLNESS, LLC
NPI 1033989330
Clinic/Center - Health Service in Olive Branch, MS

Active since January 08, 2024CLIA 25D2287487 · Waiver
7040 WIND STONE BLVD STE 150, OLIVE BRANCH, MS 38654(662) 874-5828 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Design Your Wellness, Llc NPPES

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

DESIGN YOUR WELLNESS, LLC (NPI 1033989330) is a healthcare organization registered as a health service in Olive Branch, Mississippi and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Kamika Wall, Owner & Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1033989330
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameDESIGN YOUR WELLNESS, LLC
Location Address7040 WIND STONE BLVD STE 150Olive Branch, MS 38654-9090
Mailing AddressPo Box 1663Olive Branch, MS 38654-0965 · (662) 874-5828
Organization SubpartNo
Authorized OfficialKamika WallOwner & Nurse Practitioner · (662) 874-5828
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 7, 2024
NPI 1033989330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
7040 WIND STONE BLVD STE 150, Olive Branch, MS 38654

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2287487

Design Your Wellness LLC · Olive Branch, MS
Active · expires Aug 14, 2027
CLIA Number25D2287487
Laboratory TypePractitioner Other
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorKamika S. Wall
Laboratory Phone(901) 484-9099
Laboratory LocationDesign Your Wellness LLC7040 Windstone Blvd Ste 150, Olive Branch, MS 38654
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner
7040 WIND STONE BLVD STE 150
OLIVE BRANCH, MS 38654
Nurse Practitioner (Family)
7040 WIND STONE BLVD STE 150
OLIVE BRANCH, MS 38654

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 Design Your Wellness, LLC's NPI number?

The NPI number for Design Your Wellness, LLC is 1033989330. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Design Your Wellness, LLC located?

Design Your Wellness, LLC is located at 7040 Wind Stone Blvd Ste 150, Olive Branch, MS 38654. The listed phone number is (662) 874-5828.

What is Design Your Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Design Your Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2287487) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Design Your Wellness, LLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.