DESOTO WELLNESS CLINIC LLC
NPI 1750051173
Counselor - Addiction (Substance Use Disorder) in Southaven, MS

Q: What is Desoto Wellness Clinic LLC's NPI number?

The NPI number for Desoto Wellness Clinic LLC is 1750051173. It was assigned to this organization in the NPPES registry on September 16, 2021.

Q: What is Desoto Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since September 16, 2021

8829 CENTRE ST STE 100, SOUTHAVEN, MS 38671(662) 934-8671 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Desoto Wellness Clinic Llc NPPES

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

DESOTO WELLNESS CLINIC LLC (NPI 1750051173) is a healthcare organization registered as an addiction (substance use disorder) in Southaven, Mississippi and active in the NPI registry since September 2021. The organization lists Cedric Edwards, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1750051173

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameDESOTO WELLNESS CLINIC LLC

Location Address8829 CENTRE ST STE 100Southaven, MS 38671-2610

Mailing Address222 Southlakes DrGrenada, MS 38901-8499 · (662) 934-8671

Phone(662) 934-8671

Organization SubpartNo

Authorized OfficialCedric EdwardsMedical Director · (662) 934-8671

Enumeration DateSeptember 16, 2021

NPPES CertifiedSeptember 16, 2021

✔ NPI 1750051173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

8829 CENTRE ST STE 100, Southaven, MS 38671

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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

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 Desoto Wellness Clinic LLC's NPI number?

The NPI number for Desoto Wellness Clinic LLC is 1750051173. It was assigned to this organization in the NPPES registry on September 16, 2021.

Where is Desoto Wellness Clinic LLC located?

Desoto Wellness Clinic LLC is located at 8829 Centre St Ste 100, Southaven, MS 38671. The listed phone number is (662) 934-8671.

What is Desoto Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Desoto Wellness Clinic LLC was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.