NPIMap

Organization Active NPI

Phonex Family Life Center

  • Case Management Agency
  • Natchez, MS
National Provider Identifier
1275071706
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
13763 Issued in LA
Legal business name
PHONEX FAMILY LIFE CENTER
Practice address
51 Dewberry Cir
Natchez, MS 39120-8722
Phone
(601) 443-7489
NPI assigned
Feb 3, 2017
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Latara Jones
Title
Mental Health Specialist
Phone
(601) 443-7489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 13763 LA Primary

Addresses

Primary practice location

51 Dewberry Cir
Natchez, MS 39120-8722

Mailing address

51 Dewberry Cir
Natchez, MS 39120-8722
Phone (601) 443-7489

National Provider Directory

National Provider Directory
Tax ID family
First Choice Addiction Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1275071706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 DEWBERRY CIR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391208722",
            "telephone_number": "601-443-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DEWBERRY CIR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391208722",
            "telephone_number": "601-443-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHONEX FAMILY LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LATARA",
        "authorized_official_title_or_position": "MENTAL HEALTH SPECIALIST",
        "authorized_official_telephone_number": "601-443-7489"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "13763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.