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DESOTO FAMILYCOUNSELING CENTER
NPI 1114469640
Speech-Language Pathologist in Southaven, MS

Active since November 15, 2016CLIA 25D2131590 · Waiver
6858 SWINNEA RD, BUILDING 4, SOUTHAVEN, MS 38671(662) 772-5937(662) 772-5940 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desoto Familycounseling Center NPPES

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

DESOTO FAMILYCOUNSELING CENTER (NPI 1114469640) is a healthcare organization registered as a speech-language pathologist in Southaven, Mississippi and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Amanda C Wood, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114469640
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameDESOTO FAMILYCOUNSELING CENTER
Location Address6858 SWINNEA RD, BUILDING 4Southaven, MS 38671-9493
Mailing Address6858 Swinnea Rd, Building 4Southaven, MS 38671-9493 · (662) 772-5937 · Fax (662) 772-5940
Phone(662) 772-5937
Fax(662) 772-5940
Organization SubpartNo
Authorized OfficialAmanda C WoodOffice Manager · (662) 772-5937
Enumeration DateNovember 15, 2016
✔ NPI 1114469640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
6858 SWINNEA RD, Southaven, MS 38671
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 25D2131590

Desoto Family Counseling Center · Southaven, MS
Active · expires May 31, 2027
CLIA Number25D2131590
Laboratory TypePractitioner Other
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorAmanda Wood
Laboratory Phone(662) 772-5937
Laboratory LocationDesoto Family Counseling Center8626 Airways Blvd, Southaven, MS 38671
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MRS. COURTNEY PHILLIPS PARRISH LCSW
Social Worker (Clinical)
6858 SWINNEA RD, 4 RUTLAND PLACE
SOUTHAVEN, MS 38671
Desoto County (662) 772-5937
DARBY WALTON
Counselor (Professional)
6858 SWINNEA RD
SOUTHAVEN, MS 38671
Desoto County (662) 536-6210
MRS. LAURA ELIZABETH DAVIS FNP
Nurse Practitioner
6858 SWINNEA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-9802
MRS. JENNIFER WYATT BCBA
Behavior Analyst
6858 SWINNEA RD, 4 RUTLAND PLACE
SOUTHAVEN, MS 38671
Desoto County (662) 772-5937
ALISHA M. CAMPBELL M.S., CCC-SLP
Speech-Language Pathologist
6858 SWINNEA RD
SOUTHAVEN, MS 38671
Desoto County (662) 772-5937
JENA DIMBERG MS CCC SLP
Speech-Language Pathologist
6858 SWINNEA RD, BUILDING 4
SOUTHAVEN, MS 38671
Desoto County (662) 772-5937
HILARY MEIER M.S.
Counselor (Professional)
6858 SWINNEA RD, 4 RUTLAND PL.
SOUTHAVEN, MS 38671
Desoto County (662) 772-5937
SLEEP MANAGEMENT CLINIC, LLC
Internal Medicine (Sleep Medicine)
6858 SWINNEA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-9802

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 Desoto Familycounseling Center's NPI number?

The NPI number for Desoto Familycounseling Center is 1114469640. It was assigned to this organization in the NPPES registry on November 15, 2016.

Where is Desoto Familycounseling Center located?

Desoto Familycounseling Center is located at 6858 Swinnea Rd Building 4, Southaven, MS 38671. The listed phone number is (662) 772-5937.

What is Desoto Familycounseling Center's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Does Desoto Familycounseling Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2131590) is associated with this NPI, valid through May 31, 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 Desoto Familycounseling Center was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.