Delta Therapy Group, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DELTA THERAPY GROUP, LLC

Practice address

612 Sunflower Avenue Ext Ste 12
Indianola, MS 38751-2333

Phone

(662) 452-5072

Fax

(662) 452-5072

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By 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

Verlon J Green, LCSWNPI 1366902033

Title

Provider

Phone

(662) 207-1869

Specialties & licenses 5

Addresses

Locations

Practitioners 2

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.

• Verlon Jean Green, LMSW

  • Clinical Social Worker
  • Indianola, MS
  • NPI 1366902033
  NPD Authorized official
• Natoya Y Davis Henderson, DPC

  • Mental Health Counselor
  • Greenville, MS
  • NPI 1437512738
  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1437816162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SUNFLOWER AVENUE EXT STE 12",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512333",
            "telephone_number": "662-452-5072",
            "fax_number": "662-452-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SUNFLOWER AVENUE EXT STE 12",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512333",
            "telephone_number": "662-452-5072",
            "fax_number": "662-452-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "VERLON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "662-207-1869",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Care Hope Foundation (Empowering Day Center Adult Day Care)
• Delta Health Center, Inc (Delta Health Center , Inc. - Indianola)
• Delta Health Center, Inc (Dhc-Carver Elementary School)
• Delta Health Center, Inc. (DHC-Lockard Elementary School)
• Delta Health Center, Inc.
• Edgar N Donahoe Jr., M.D.
• Edgar Newton Donahoe III, DMD
• Jana Newton Donahoe, LCSW, PH.D.
• William Wade Dowell, M.D.
• Dowells Pharmacy (Martin's Pharmacy)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Indianola, MS
• Providers in Indianola, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.