Southland Wellness Pllc
LBN: Southland Wellness Pllc
Southland Wellness Pllc is an health care organization with primary practice located at 6810 Crumpler Blvd Ste 100 , Olive Branch MS 38654-1934. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Infusion Therapy, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Infusion Therapy. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Southland Wellness Pllc can be contacted via phone (662) 892-8728, or through Pace, Lindsay via phone (901) 281-9387.
Contact Information
Primary practice address
6810 Crumpler Blvd Ste 100
Olive Branch MS 38654-1934
Phone: (662) 892-8728
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Infusion Therapy | 163WI0500X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X |
Profile Details
| NPI number | 1609586346 |
|---|---|
| LBN Legal business name | Southland Wellness Pllc |
| DBA Doing business as | |
| Authorized official | Pace, Lindsay Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 5th, 2022 |
| Last updated | Dec 5th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609586346 | NPPES |
| Tennessee | MEDICAID | 3836655 |
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