PRECISE CLINICAL NEUROSCIENCE SPECIALISTS
NPI 1134962525
Psychiatry & Neurology - Psychiatry in Flowood, MS

Active since June 14, 2024CLIA 25D2230508 · Waiver
3531 LAKELAND DR STE 1060, FLOWOOD, MS 39232(301) 420-5810(601) 420-5811 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 11, 2024, Jun 14, 2024 (2 updates tracked since 2024).

About Precise Clinical Neuroscience Specialists NPPES

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

PRECISE CLINICAL NEUROSCIENCE SPECIALISTS (NPI 1134962525) is a healthcare organization registered as a psychiatry in Flowood, Mississippi and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through July 25, 2027, maintains 3 additional practice locations, and lists Kimberly Glaveskas, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1134962525
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBEACON BEHAVIORAL OF MISSISSIPPI, LLC
Location Address3531 LAKELAND DR STE 1060Flowood, MS 39232-8016
Mailing AddressPo Box 306600Nashville, TN 37230-6600 · (601) 420-5810 · Fax (601) 420-5811
Fax(601) 420-5811
Organization SubpartYes
Authorized OfficialKimberly GlaveskasCredentialing Supervisor · (443) 962-3945
Enumeration DateJune 14, 2024
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1134962525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3531 LAKELAND DR STE 1060, Flowood, MS 39232

Other Names 1

Doing Business AsPrecise Clinical Neuroscience Specialists

Secondary Practice Locations 3

Location 1230 Trace Colony Park Dr Ste 4Ridgeland, MS 39157-8851 · Phone (601) 420-5810 · Fax (601) 420-5811
Location 2104 Southpointe DrByram, MS 39272-5565 · Phone (601) 420-5810 · Fax (601) 420-5811
Location 3901 Jackson StVicksburg, MS 39183-2519 · Phone (601) 420-5810 · Fax (601) 420-5811

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 25D2230508

Precise Clinical Neuroscience Specialists · Vicksburg, MS
Active · expires Jul 25, 2027
CLIA Number25D2230508
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorDr. Joseph A. Kwentus
Laboratory Phone(601) 420-5810
Laboratory LocationPrecise Clinical Neuroscience Specialists1111 N Frontage Road, Suite 36, Vicksburg, MS 39180
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Psychiatric/Mental Health)
3531 LAKELAND DR STE 1060
FLOWOOD, MS 39232
Nurse Practitioner (Psychiatric/Mental Health)
3531 LAKELAND DR STE 1060
FLOWOOD, MS 39232
Nurse Practitioner (Psychiatric/Mental Health)
3531 LAKELAND DR STE 1060
FLOWOOD, MS 39232
Nurse Practitioner (Psychiatric/Mental Health)
3531 LAKELAND DR STE 1060
FLOWOOD, MS 39232
Counselor (Professional)
3531 LAKELAND DR STE 1060
FLOWOOD, MS 39232
Psychiatry & Neurology (Psychiatry)
3531 LAKELAND DR STE 1060
FLOWOOD, MS 39232
Psychiatry & Neurology (Psychiatry)
3531 LAKELAND DR STE 1060
FLOWOOD, MS 39232

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 Beacon Behavioral Of Mississippi, LLC's NPI number?

The NPI number for Beacon Behavioral Of Mississippi, LLC is 1134962525. It was assigned to this organization in the NPPES registry on June 14, 2024. The provider is doing business as Precise Clinical Neuroscience Specialists.

Where is Beacon Behavioral Of Mississippi, LLC located?

Beacon Behavioral Of Mississippi, LLC is located at 3531 Lakeland Dr Ste 1060, Flowood, MS 39232. The listed phone number is (301) 420-5810.

What is Beacon Behavioral Of Mississippi, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Beacon Behavioral Of Mississippi, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2230508) is associated with this NPI, valid through July 25, 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 Beacon Behavioral Of Mississippi, LLC was last updated on July 11, 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.