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JOURNEYPURE SOUTHAVEN, LLC
NPI 1336681584
Clinic/Center - Rehabilitation, Substance Use Disorder in Southaven, MS

Active since November 04, 2016
8829 CENTRE ST, SOUTHAVEN, MS 38671(662) 536-6542 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2020, Jun 16, 2020, Mar 17, 2020 and 1 more (4 updates tracked since 2016).

About Journeypure Southaven, Llc NPPES

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

JOURNEYPURE SOUTHAVEN, LLC (NPI 1336681584) is a healthcare organization registered as a rehabilitation, substance use disorder in Southaven, Mississippi and active in the NPI registry since November 2016. The organization lists Kim Cooper, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1336681584
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameJOURNEYPURE SOUTHAVEN, LLC
Location Address8829 CENTRE STSouthaven, MS 38671-2610
Mailing Address8829 Centre StSouthaven, MS 38671-2610 · (662) 536-6542 · Fax (662) 314-9689
Phone(662) 536-6542
Organization SubpartNo
Authorized OfficialKim CooperHuman Resources · (662) 536-6542
Enumeration DateNovember 4, 2016
Last NPPES UpdateJune 30, 20204 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
✔ NPI 1336681584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
8829 CENTRE ST, Southaven, MS 38671
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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.

MR. GEORGE PAUL COMEAUX LCSW
Social Worker (Clinical)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Desoto County (662) 280-5758
DEBBIE S. HARRISON LPC, MHSP
Counselor (Mental Health)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Desoto County (662) 280-5758
BETH HAND L.C.S.W.
Social Worker (Clinical)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Desoto County (901) 493-3638
JOURNEYPURE SOUTHAVEN, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Desoto County (662) 536-6542
DR. KATTRINA ROACH PHD
Counselor (Professional)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Desoto County (662) 280-5758
KELLI H. DAVIS LPC
Counselor (Mental Health)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Desoto County (662) 280-5758
JOURNEYPURE MISSISSIPPI MEDICAL GROUP LLC
Psychologist (Addiction (Substance Use Disorder))
8829 CENTRE ST
SOUTHAVEN, MS 38671
Desoto County (662) 536-6542
MATTISON LANIER ELLIS LPC
Counselor (Professional)
8829 CENTRE ST, SUITE 105
SOUTHAVEN, MS 38671
Desoto County (662) 280-6777

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 Journeypure Southaven, LLC's NPI number?

The NPI number for Journeypure Southaven, LLC is 1336681584. It was assigned to this organization in the NPPES registry on November 4, 2016.

Where is Journeypure Southaven, LLC located?

Journeypure Southaven, LLC is located at 8829 Centre St, Southaven, MS 38671. The listed phone number is (662) 536-6542.

What is Journeypure Southaven, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Journeypure Southaven, LLC was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.