DESOTO FAMILY WELLNESS CENTER, LLC - NPI 1376143024

Q: What is Desoto Family Wellness Center, LLC's NPI number?

The NPI number for Desoto Family Wellness Center, LLC is 1376143024. It was assigned to this organization in the NPPES registry on October 30, 2020.

Q: What is Desoto Family Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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About Desoto Family Wellness Center, Llc NPPES

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

DESOTO FAMILY WELLNESS CENTER, LLC (NPI 1376143024) is a healthcare organization registered as a multi-specialty in Southaven, Mississippi and active in the NPI registry since October 2020. The organization lists Amy Lynn Ollar, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376143024

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameDESOTO FAMILY WELLNESS CENTER, LLC

Location Address3495 COBBLESTONE BLVD SSouthaven, MS 38672-7075

Mailing Address3495 Cobblestone Blvd SSouthaven, MS 38672-7075 · (662) 892-2885 · Fax (662) 892-2889

Phone(662) 892-2885

Fax(662) 892-2889

Organization SubpartNo

Authorized OfficialAmy Lynn OllarOffice Manager · (662) 892-2885

Enumeration DateOctober 30, 2020

Last NPPES UpdateSeptember 18, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2023

✔ NPI 1376143024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

3495 COBBLESTONE BLVD S, Southaven, MS 38672

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MICHELLE T RUDER LPC

Counselor (Mental Health)