Organization Active NPI

Dimensions Wellness Group, LLC

  • Community/Behavioral Health Agency
  • Meridian, MS
National Provider Identifier
1619707296
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIMENSIONS WELLNESS GROUP, LLC
Practice address
1316 25TH Ave
Meridian, MS 39301-3947
Phone
(601) 453-2505
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dwyla L Wilson, LPCNPI 1598188286
Title
Owner
Phone
(601) 880-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1316 25TH Ave
Meridian, MS 39301-3947

Mailing address

5842 Mohawk Rd
Meridian, MS 39305-1367
Phone (601) 880-0888

Other practice location 1

5842 Mohawk Rd
Meridian, MS 39305-1367
Phone (601) 880-0888

Other practice location 2

4905 Poplar Springs Dr Ste B
Meridian, MS 39305-1642
Phone (601) 880-0888

Other identifiers 1

IdentifierTypeStateIssuer
008088394MedicaidMS

National Provider Directory

National Provider Directory

Locations

1316 25th Ave
Meridian, MS 39301
Phone (601) 453-2505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1619707296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 MOHAWK RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051367",
            "telephone_number": "601-880-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 25TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013947",
            "telephone_number": "601-453-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5842 Mohawk Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393051367",
            "country_code": "US",
            "telephone_number": "601-880-0888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4905 Poplar Springs Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393051642",
            "country_code": "US",
            "telephone_number": "601-880-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIMENSIONS WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DWYLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-880-0888",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008088394",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.