Illuminated Direction

LBN: Illuminated Direction
Illuminated Direction is an health care organization with primary practice located at 1903 Pass Rd , Biloxi MS 39531-4119. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Illuminated Direction can be contacted via phone (228) 209-9482, or through Lacewell, Jonathan via phone (919) 450-6446.

Contact Information

Primary practice address
1903 Pass Rd Biloxi MS 39531-4119
Phone: (228) 209-9482
Fax: (601) 884-4466
Website:
Map and Directions
Authorized official contact:
Name: Lacewell, Jonathan
Phone: (919) 450-6446

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1679184980
LBN Legal business name Illuminated Direction
DBA Doing business as
Authorized official Lacewell, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2020
Last updated Jan 8th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679184980 NPPES
Mississippi MEDICAID 06307760

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