Organization Active NPI

Refuge Wellness Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MS
National Provider Identifier
1255078242
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on May 19, 2022

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

Authorized official

Name
Calandrea Taylor, LPCNPI 1043616105
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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctaylor@therefugewell.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.