Holistic Health With Kelly LLC
Organization Active NPI Mental Health Counselor · Meridian, MS
NPI 1245806041 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1245806041
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- HOLISTIC HEALTH WITH KELLY LLC
- Practice address
- 6259 Pinedale Rd
Meridian, MS 39305-3430 - Phone
- (601) 616-3752
- NPI assigned
- Jun 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Kelly Harper Smith, LCSW
- Title
- Owner
- Phone
- (601) 616-3752
Practitioners 11
-
Jennifer Alisha Hill, NURSE PRACTITIONER
-
Erica Sheree Smith, PMHNP-BC
-
Kelly Harper Smith, LCSW
-
Lucy M Barnes, FNP-C
-
Keisha L Oliphant, FNP
-
Kristen Thames, FNP-C
-
Kimberly Michelle Crowell, PMHNP-BC
-
James Murphy, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210830002828 | MS | Part B Supplier - Clinic/Group Practice | 1850797846 |
Receives reassigned benefits from 9 practitioners Practice locations: Meridian, MS |
National Provider Directory
Locations
2011 23rd Ave
Meridian, MS 39301
Phone (601) 286-5983
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
6259 Pinedale Rd
Meridian, MS 39305-3430
Mailing address
6259 Pinedale Rd
Meridian, MS 39305-3430
Phone (601) 616-3752
Other providers in Meridian, MS
- Russell Lin Hogan
- Sacky Horne Holdiness
- Laceda Holifield
- Lynn M. Holifield
- Holistic Geriatric Care LLC
- Jason C. Holladay
- Tonia Holley
- Jaquariah Emoni Holliday
- Courtney M Hollie
- Anna E Hollingshead
All providers in Meridian, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.