DESOTO FAMILY COUNSELING CENTER PLLC - NPI 1912214792 - Community/Behavioral Health in Southaven, MS

Q: What is the provider's specialty?

The provider's specialty is Community/Behavioral Health with taxonomy code 251S00000X.

On this page

About Desoto Family Counseling Center Pllc NPPES

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

DESOTO FAMILY COUNSELING CENTER PLLC (NPI 1912214792) is a healthcare organization registered as a community/behavioral health in Southaven, Mississippi and active in the NPI registry since September 2010. The organization maintains a secondary practice location in Senatobia and lists Anthony Jerome Wood, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1912214792

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameDESOTO FAMILY COUNSELING CENTER PLLC

Location Address8626 AIRWAYS BLVDSouthaven, MS 38671-2603

Mailing Address8626 Airways BlvdSouthaven, MS 38671-2603 · (662) 772-5937 · Fax (662) 772-5940

Phone(662) 772-5937

Fax(662) 772-5940

Organization SubpartNo

Authorized OfficialAnthony Jerome WoodOwner/director · (662) 772-5937

Enumeration DateSeptember 1, 2010

Last NPPES UpdateMay 1, 20254 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1912214792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MS · 1326

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

8626 AIRWAYS BLVD, Southaven, MS 38671

Open in Google Maps ↗

Secondary Practice Location 1

Location 1311 E Main StSenatobia, MS 38668-2215 · Phone (662) 772-5937

Other Identifiers 17

Medicaid03458834MS

Medicaid03350341MS

Medicaid05476356MS

Medicaid01128006MS

Medicaid02332763MS

Medicaid09250853MS

Medicaid09485302MS

Medicaid04073099MS

Medicaid08579847MS

Medicaid01924277MS

Medicaid09588552MS

Medicaid1558401521MS

Medicaid00432297MS

Medicaid04057773MS

Medicaid05103380MS

Medicaid008579847MS

Medicaid03322249MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

TANISHA MARTIN

Nurse Practitioner (Psychiatric/Mental Health)