Strong Health & Wellness Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STRONG HEALTH & WELLNESS CENTER, LLC

Practice address

130 Fairmont St Ste B
Clinton, MS 39056-4714

Phone

(601) 473-2159

Fax

(844) 247-2866

NPI assigned

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Mary Strong

Title

Nurse Practitioner/Owner

Phone

(601) 613-1398

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1477057966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FAIRMONT ST STE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564714",
            "telephone_number": "601-348-2001",
            "fax_number": "844-247-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FAIRMONT ST STE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564714",
            "telephone_number": "601-473-2159",
            "fax_number": "844-247-2866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Scots Gln",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392044551",
            "country_code": "US",
            "telephone_number": "601-613-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRONG HEALTH & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "601-613-1398"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00104317",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarea Stout, LPC
• Alexis Grabow Strahan, MSN, NP-C
• Benton Coiley Strain, RPH
• Paula Stewart Strange
• Strength in Season Counseling, LLC
• Katreasha Stuckey, 171M00000X
• Achassity Summers
• Tracey J Swan
• Alicia Broadway Swann, AUDIOLOGIST
• Kelsey Long Sykes, OD

• Family Medicine Physician in Clinton, MS
• Providers in Clinton, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.