1. Home
  2. Directory
  3. Mississippi
  4. Horn Lake
  5. Clinic Center
  6. NPI Profile

PSYCHOSOCIAL BOUTIQUE, PLLC.
NPI 1841846904
Clinic/Center - Mental Health (Including Community Mental Health Center) in Horn Lake, MS

Active since August 14, 2019
1751 DANCY BLVD, HORN LAKE, MS 38637(662) 892-2660 Get Directions Write a Review

NPPES record last updated: November 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2025, Jun 26, 2025, Feb 22, 2023 and 5 more (8 updates tracked since 2019).

About Psychosocial Boutique, Pllc. NPPES

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

PSYCHOSOCIAL BOUTIQUE, PLLC. (NPI 1841846904) is a healthcare organization registered as a mental health (including community mental health center) in Horn Lake, Mississippi and active in the NPI registry since August 2019. The organization maintains 2 additional practice locations and lists Syrenia Johnson, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1841846904
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePSYCHOSOCIAL BOUTIQUE, PLLC.
Location Address1751 DANCY BLVDHorn Lake, MS 38637-1916
Mailing Address1350 Sunset Dr Ste DGrenada, MS 38901-4079 · (662) 892-2660
Phone(662) 892-2660
Organization SubpartNo
Authorized OfficialSyrenia JohnsonOwner/practitioner · (662) 892-2660
Enumeration DateAugust 14, 2019
Last NPPES UpdateNovember 29, 20258 updates tracked since enumeration
NPPES CertifiedNovember 29, 2025
✔ NPI 1841846904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1751 DANCY BLVD, Horn Lake, MS 38637
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11350 Sunset Dr Ste DGrenada, MS 38901-4079 · Phone (662) 892-2660
Location 2144 S Thomas St Ste 211Tupelo, MS 38801-5331 · Phone (662) 892-2660

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 5

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

MRS. TAYLOR H HOLDEN OT
Occupational Therapist
1751 DANCY BLVD, STE 2
HORN LAKE, MS 38637
Desoto County (901) 292-5313
COMPREHENSIVE PSYCH SOLUTIONS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1751 DANCY BLVD
HORN LAKE, MS 38637
Desoto County (662) 892-2660
KELSEY J BRYANT SLP
Speech-Language Pathologist
1751 DANCY BLVD
HORN LAKE, MS 38637
Desoto County (901) 461-7633
DR. SYRENIA JOHNSON LCSW
Social Worker (Clinical)
1751 DANCY BLVD
HORN LAKE, MS 38637
Desoto County (662) 892-2660
AMELIA PLUMLEE M.S. CCC-SLP
Speech-Language Pathologist
1751 DANCY BLVD
HORN LAKE, MS 38637
Desoto County (901) 292-5313

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 Psychosocial Boutique, PLLC.'s NPI number?

The NPI number for Psychosocial Boutique, PLLC. is 1841846904. It was assigned to this organization in the NPPES registry on August 14, 2019.

Where is Psychosocial Boutique, PLLC. located?

Psychosocial Boutique, PLLC. is located at 1751 Dancy Blvd, Horn Lake, MS 38637. The listed phone number is (662) 892-2660.

What is Psychosocial Boutique, PLLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Psychosocial Boutique, PLLC. accept?

Health plans from Molina Healthcare list Psychosocial Boutique, PLLC. 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 Psychosocial Boutique, PLLC. was last updated on November 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.