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ETERNITY WELLNESS 22, LLC
NPI 1639836000
Nurse Practitioner - Psychiatric/Mental Health in Biloxi, MS

Active since November 19, 2021
1636 POPPS FERRY RD STE 234, BILOXI, MS 39532(888) 777-2671(228) 641-2499 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Apr 8, 2024, Nov 19, 2021 (3 updates tracked since 2021).

About Eternity Wellness 22, Llc NPPES

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

ETERNITY WELLNESS 22, LLC (NPI 1639836000) is a healthcare organization registered as a psychiatric/mental health in Biloxi, Mississippi and active in the NPI registry since November 2021. The organization lists Tawana Chanell Raymond, Nurse Practitioner, Owner, as its authorized official.

NPPES Registry Identity

NPI1639836000
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameETERNITY WELLNESS 22, LLC
Location Address1636 POPPS FERRY RD STE 234Biloxi, MS 39532-2279
Mailing Address1636 Popps Ferry Rd Ste 234Biloxi, MS 39532-2279 · (228) 641-2449 · Fax (228) 641-2499
Phone(888) 777-2671
Fax(228) 641-2499
Organization SubpartNo
Authorized OfficialTawana Chanell RaymondNurse Practitioner, Owner · (228) 641-2449
Enumeration DateNovember 19, 2021
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1639836000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1636 POPPS FERRY RD STE 234, Biloxi, MS 39532
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES

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

TAWANA CHANELL RAYMOND FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1636 POPPS FERRY RD STE 234
BILOXI, MS 39532
Harrison County (228) 641-2449

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 Eternity Wellness 22, LLC's NPI number?

The NPI number for Eternity Wellness 22, LLC is 1639836000. It was assigned to this organization in the NPPES registry on November 19, 2021.

Where is Eternity Wellness 22, LLC located?

Eternity Wellness 22, LLC is located at 1636 Popps Ferry Rd Ste 234, Biloxi, MS 39532. The listed phone number is (888) 777-2671.

What is Eternity Wellness 22, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Eternity Wellness 22, LLC accept?

Health plans from Molina Healthcare list Eternity Wellness 22, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eternity Wellness 22, LLC was last updated on April 18, 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.