1. Home
  2. Directory
  3. Mississippi
  4. Petal
  5. Community Behavioral Health
  6. NPI Profile

YOUR FAMILY CLINIC LLC
NPI 1891192068
Community/Behavioral Health in Petal, MS

Active since December 03, 2014
514 OLD RICHTON RD, PETAL, MS 39465(601) 544-8935(601) 544-8935 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Your Family Clinic Llc NPPES

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

YOUR FAMILY CLINIC LLC (NPI 1891192068) is a healthcare organization registered as a community/behavioral health in Petal, Mississippi and active in the NPI registry since December 2014. The organization lists Daniel Tamour Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1891192068
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameYOUR FAMILY CLINIC LLC
Location Address514 OLD RICHTON RDPetal, MS 39465-2920
Mailing Address67 Mars Hill RdPetal, MS 39465-8343 · (601) 544-8935 · Fax (601) 544-8935
Phone(601) 544-8935
Fax(601) 544-8935
Organization SubpartNo
Authorized OfficialDaniel Tamour MooreOwner · (601) 544-8935
Enumeration DateDecember 3, 2014
✔ NPI 1891192068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MS · 948493
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.
514 OLD RICHTON RD, Petal, MS 39465
Open in Google Maps ↗

Other Identifiers 1

Medicaid1861400244MS

Other Providers at the Same Location NPPES

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

DR. MARNI L HILL YARRINGTON PH.D.
Psychologist (Clinical)
514 OLD RICHTON RD, YOUR FAMILY WELLNESS LLC
PETAL, MS 39465
Forrest County (601) 336-2167

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 Your Family Clinic LLC's NPI number?

The NPI number for Your Family Clinic LLC is 1891192068. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is Your Family Clinic LLC located?

Your Family Clinic LLC is located at 514 Old Richton Rd, Petal, MS 39465. The listed phone number is (601) 544-8935.

What is Your Family Clinic LLC'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 Your Family Clinic LLC was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.