BLACKSTONE
NPI 1801340799
Community/Behavioral Health in Hattiesburg, MS

Q: What is Providence Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 08, 2016

5266 OLD HIGHWAY 11 STE 50, HATTIESBURG, MS 39402(678) 834-7615 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blackstone NPPES

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

BLACKSTONE (NPI 1801340799) is a healthcare organization registered as a community/behavioral health in Hattiesburg, Mississippi and active in the NPI registry since August 2016. The organization lists Nikki Kwona Wright, Director, as its authorized official.

NPPES Registry Identity

NPI1801340799

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROVIDENCE BEHAVIORAL HEALTH SERVICES

Location Address5266 OLD HIGHWAY 11 STE 50Hattiesburg, MS 39402-7818

Mailing Address5737 Old National Hwy Ste 300Atlanta, GA 30349-3865 · (678) 834-7615

Phone(678) 834-7615

Organization SubpartNo

Authorized OfficialNikki Kwona WrightDirector · (678) 834-7615

Enumeration DateAugust 8, 2016

✔ NPI 1801340799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

5266 OLD HIGHWAY 11 STE 50, Hattiesburg, MS 39402

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Other Names 1

Other NameBlackstone

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 Providence Behavioral Health Services's NPI number?

The NPI number for Providence Behavioral Health Services is 1801340799. It was assigned to this organization in the NPPES registry on August 8, 2016. The provider is also known as Blackstone.

Where is Providence Behavioral Health Services located?

Providence Behavioral Health Services is located at 5266 Old Highway 11 Ste 50, Hattiesburg, MS 39402. The listed phone number is (678) 834-7615.

What is Providence Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Providence Behavioral Health Services was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.