Desoto Family Wellness Center, Llc

LBN: Desoto Family Wellness Center, Llc
Desoto Family Wellness Center, Llc is an health care organization with primary practice located at 3495 Cobblestone Blvd S , Southaven MS 38672-7075. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Desoto Family Wellness Center, Llc can be contacted via phone (662) 892-2885, or through Ollar, Amy Lynn via phone (662) 892-2885.

Contact Information

Primary practice address
3495 Cobblestone Blvd S Southaven MS 38672-7075
Phone: (662) 892-2885
Fax: (662) 892-2889
Website:
Map and Directions
Authorized official contact:
Name: Ollar, Amy Lynn
Phone: (662) 892-2885

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1376143024
LBN Legal business name Desoto Family Wellness Center, Llc
DBA Doing business as
Authorized official Ollar, Amy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2020
Last updated Sep 18th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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