Active NPI
Integrative Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INTEGRATIVE WELLNESS, LLC
- Practice address
- 1821 Highway 39 N Ste K
Meridian, MS 39301-2725 - Phone
- (601) 627-0257
- Fax
- (601) 258-4682
- NPI assigned
- Oct 31, 2023
- Last updated
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Comanechi Clayton, PMHNP-BC
- Title
- Owner
- Phone
- (601) 627-0257
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
1821 Highway 39 N Ste K
Meridian, MS 39301-2725
Mailing address
1821 Highway 39 N Ste K
Meridian, MS 39301-2725
Phone (601) 627-0257
National Provider Directory
National Provider DirectoryLocations
1821 Highway 39 N
Ste K
Meridian, MS 39301
Phone (601) 627-0257
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
- NPI 1790303816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1649043845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 HIGHWAY 39 N STE K",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393012725",
"telephone_number": "601-627-0257",
"fax_number": "601-258-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 HIGHWAY 39 N STE K",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393012725",
"telephone_number": "601-627-0257",
"fax_number": "601-258-4682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-31",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "COMANECHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-627-0257",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 3, 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.