Lice Clinics of American - Central Mississippi, LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

LICE CLINICS OF AMERICAN - CENTRAL MISSISSIPPI, LLC

Practice address

655 Lake Harbour Dr
Suite 400
Ridgeland, MS 39157-4355

Phone

(601) 707-5712

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Smalling

Title

Owner

Phone

(601) 707-5712

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1265965818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2053",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391302053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 LAKE HARBOUR DR",
            "address_2": "SUITE 400",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574355",
            "telephone_number": "601-707-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICE CLINICS OF AMERICAN - CENTRAL MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "SMALLING",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-707-5712",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.