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SOUTHLAND RECOVERY, PLLC
NPI 1508439910
Preventive Medicine - Addiction Medicine in Southaven, MS

Active since July 22, 2021CLIA 25D2195604 · Waiver
8830 CENTRE ST STE 5, SOUTHAVEN, MS 38671(662) 510-2523(662) 510-2527 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southland Recovery, Pllc NPPES

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

SOUTHLAND RECOVERY, PLLC (NPI 1508439910) is a healthcare organization registered as an addiction medicine in Southaven, Mississippi and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Joshua Kaplan, Counselor & Program Director, as its authorized official.

NPPES Registry Identity

NPI1508439910
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameSOUTHLAND RECOVERY, PLLC
Location Address8830 CENTRE ST STE 5Southaven, MS 38671-2609
Mailing Address8830 Centre St Ste 5Southaven, MS 38671-2609 · (662) 510-2523 · Fax (662) 510-2527
Phone(662) 510-2523
Fax(662) 510-2527
Organization SubpartNo
Authorized OfficialJoshua KaplanCounselor & Program Director · (662) 510-2523
Enumeration DateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1508439910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
8830 CENTRE ST STE 5, Southaven, MS 38671
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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 SINGLE 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 25D2195604

Southland Recovery · Southaven, MS
Active · expires Oct 8, 2026
CLIA Number25D2195604
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorDr. Susan B. Mokhtari
Laboratory Phone(662) 510-2523
Laboratory LocationSouthland Recovery8830 Centre St Ste 5, Southaven, MS 38671
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JOSHUA KAPLAN CADC II (COUNSELOR)
Counselor (Addiction (Substance Use Disorder))
8830 CENTRE ST STE 5
SOUTHAVEN, MS 38671
Desoto County (662) 510-2523
SANDRA DIETLE LPC
Counselor (Professional)
8830 CENTRE ST STE 5
SOUTHAVEN, MS 38671
Desoto County (662) 253-8324

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 Southland Recovery, PLLC's NPI number?

The NPI number for Southland Recovery, PLLC is 1508439910. It was assigned to this organization in the NPPES registry on July 22, 2021.

Where is Southland Recovery, PLLC located?

Southland Recovery, PLLC is located at 8830 Centre St Ste 5, Southaven, MS 38671. The listed phone number is (662) 510-2523.

What is Southland Recovery, PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Does Southland Recovery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2195604) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southland Recovery, PLLC was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.