Active NPI
Refuge Wellness Health Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MS
National Provider Identifier
1255078242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- REFUGE WELLNESS HEALTH SERVICES LLC
- Doing business as
- The Refuge
- Practice address
- 3670 Lakeland LN
Jackson, MS 39216-4700 - Phone
- (601) 759-1104
- NPI assigned
- May 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Calandrea Taylor, LPC
- Title
- Member/Owner
- Phone
- (601) 383-8408
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3670 Lakeland LN
Jackson, MS 39216-4700
Mailing address
501 Pelahatchie Shore Dr
Brandon, MS 39047-6282
Phone (601) 383-8408
Other names 1
- The Refuge
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ctaylor@therefugewell.com |
National Provider Directory
National Provider DirectoryLocations
3670 Lakeland Ln
Jackson, MS 39216
Phone (601) 759-1104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Brandon, MS
- NPI 1043616105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652918400000",
"number": "1255078242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 PELAHATCHIE SHORE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476282",
"telephone_number": "601-383-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3670 LAKELAND LN",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164700",
"telephone_number": "601-759-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFUGE WELLNESS HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "CALANDREA",
"authorized_official_title_or_position": "MEMBER/OWNER",
"authorized_official_telephone_number": "601-383-8408",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ctaylor@therefugewell.com",
"affiliation": "N",
"address_1": "3670 Lakeland Ln",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392164700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Refuge",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.