JOURNEYPURE MISSISSIPPI MEDICAL GROUP LLC
NPI 1780127845
Psychologist - Addiction (Substance Use Disorder) in Southaven, MS

Q: What is Journeypure Mississippi Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Active since November 22, 2016

8829 CENTRE ST, SOUTHAVEN, MS 38671(662) 536-6542(662) 314-9689 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2020, Mar 17, 2020, Dec 13, 2016 and 1 more (4 updates tracked since 2016).

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About Journeypure Mississippi Medical Group Llc NPPES

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

JOURNEYPURE MISSISSIPPI MEDICAL GROUP LLC (NPI 1780127845) is a healthcare organization registered as an addiction (substance use disorder) in Southaven, Mississippi and active in the NPI registry since November 2016. The organization lists Kim Cooper, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1780127845

Entity TypeOrganization

Primary Taxonomy103TA0400X

Legal Business NameJOURNEYPURE MISSISSIPPI MEDICAL GROUP LLC

Location Address8829 CENTRE STSouthaven, MS 38671-2610

Mailing Address8829 Centre St Ste 200Southaven, MS 38671-2610 · (662) 536-6542 · Fax (662) 314-9689

Phone(662) 536-6542

Fax(662) 314-9689

Organization SubpartNo

Authorized OfficialKim CooperHuman Resources · (662) 536-6542

Enumeration DateNovember 22, 2016

Last NPPES UpdateJune 16, 20204 updates tracked since enumeration

NPPES CertifiedJune 16, 2020

✔ NPI 1780127845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code103TA0400X

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

8829 CENTRE ST, 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

Other Providers at the Same Location NPPES 8

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

MR. GEORGE PAUL COMEAUX LCSW

Social Worker (Clinical)