Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BOONEVILLE WELLNESS, LLC
NPI 1417861386
Counselor - Professional in Booneville, MS

Active since September 29, 2026
221 W COLLEGE ST, BOONEVILLE, MS 38829(662) 416-6204 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Booneville Wellness, Llc NPPES

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

BOONEVILLE WELLNESS, LLC (NPI 1417861386) is a healthcare organization registered as a professional in Booneville, Mississippi and active in the NPI registry since September 2026. The organization lists Dana Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1417861386
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBOONEVILLE WELLNESS, LLC
Location Address221 W COLLEGE STBooneville, MS 38829-3411
Mailing Address457 County Road 5011Booneville, MS 38829-9430 · (662) 416-6204
Organization SubpartNo
Authorized OfficialDana StephensOwner · (662) 416-6204
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1417861386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
221 W COLLEGE ST, Booneville, MS 38829

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 Booneville Wellness, LLC's NPI number?

The NPI number for Booneville Wellness, LLC is 1417861386. It was assigned to this organization in the NPPES registry on September 29, 2026.

Where is Booneville Wellness, LLC located?

Booneville Wellness, LLC is located at 221 W College St, Booneville, MS 38829. The listed phone number is (662) 416-6204.

What is Booneville Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Booneville Wellness, LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.