Booneville Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BOONEVILLE WELLNESS, LLC

Practice address

221 W College St
Booneville, MS 38829-3411

Phone

(662) 416-6204

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Stephens

Title

Owner

Phone

(662) 416-6204

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1417861386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 COUNTY ROAD 5011",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388299430",
            "telephone_number": "662-416-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLLEGE ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293411",
            "telephone_number": "662-416-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-416-6204"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Booneville Community Pharmacy of Ms Inc.
• Booneville Community Pharmacy of Msinc (Booneville Community Pharmacy)
• Booneville Discount Drugs Inc
• Booneville General Dentistry, P.a.
• Booneville Internal Medicine PC
• Halley Box, APRN
• Brandon Johnson Booneville Anesthesia Services
• Christy Brantley
• Karen C Breaux, LPTA
• Amanda Brock, PHARMD

• Professional Counselor in Booneville, MS
• Providers in Booneville, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.