Chalonda Reed-Phillips

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2712 Issued in MS

Practice address

3964 Goodman Rd E Ste 122
Southaven, MS 38672-8709

Phone

(901) 283-8290

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cha'Lique Medical Massage Spa

  • Massage Therapist
  • Southaven, MS
  • NPI 1245919968
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1407535339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710002",
            "telephone_number": "901-283-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 122",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728709",
            "telephone_number": "901-283-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-PHILLIPS",
        "first_name": "CHALONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MS",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Ray, BCBA
• Natalie Ray, MOT
• RCG Southaven, LLC
• Reach Medcare, LLC
• Reed Counseling and Consulting
• Raquel Janay Reed-Washington, FNP-C
• Jessica Rena Reed, EDS, NCC, LPC
• Jonathan Wesley Reed, CRNA
• Sandra Joann Reed, MD
• Tammy Q Reed, APN

• All providers in Southaven, MS
• Massage Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.