Organization Active NPI

Becoming Undone Therapy Services LLC

  • Community/Behavioral Health Agency
  • Hattiesburg, MS
National Provider Identifier
1215705256
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BECOMING UNDONE THERAPY SERVICES LLC
Practice address
4010 Oferral St Ste 209
Hattiesburg, MS 39402-1613
Phone
(601) 463-8418
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Shania Barr, LPCNPI 1194334656
Title
Owner
Phone
(601) 447-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4010 Oferral St Ste 209
Hattiesburg, MS 39402-1613

Mailing address

4208 Highway 8 E
Okolona, MS 38860-9390

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1215705256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 HIGHWAY 8 E",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388609390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 OFERRAL ST STE 209",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021613",
            "telephone_number": "601-463-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECOMING UNDONE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "SHANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-447-2321",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.