Organization Active NPI

Linda Sweezer Enterprises, LLC

  • Mental Health Counselor
  • Vicksburg, MS
National Provider Identifier
1093214751
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CO962 Issued in MS
Legal business name
LINDA SWEEZER ENTERPRISES, LLC
Practice address
1301 Holly St
Vicksburg, MS 39180-3665
Phone
(601) 630-3362
Fax
(855) 540-0718
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Linda Lee Sweezer
Title
Director/Ceo
Phone
(601) 218-1322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X CO962 MS Primary

Addresses

Primary practice location

1301 Holly St
Vicksburg, MS 39180-3665

Mailing address

PO Box 820364
Vicksburg, MS 39182-0364
Phone (601) 218-1322

Other names 1

  • The Peace Place Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

1301 Holly St
Vicksburg, MS 39180
Phone (601) 630-3362

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1093214751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820364",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391820364",
            "telephone_number": "601-218-1322",
            "fax_number": "855-540-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HOLLY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803665",
            "telephone_number": "601-630-3362",
            "fax_number": "855-540-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA SWEEZER ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "SWEEZER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "601-218-1322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "CO962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Peace Place Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.