Southeast Behavioral Health Services, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTHEAST BEHAVIORAL HEALTH SERVICES, INC.

Doing business as

The Ranch Mississippi

Practice address

3949 Highway 43 N
Brandon, MS 39047-7240

Phone

(601) 829-2500

NPI assigned

Sep 3, 2014

Last updated

Jan 12, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ELEMENTS BEHAVIORAL HEALTH, INC.As reported in NPPES

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

Authorized official

Name

Ms. Cheryl Maplesden, CPC, CHC, CHPC

Title

Director, Revenue Cycle

Phone

(615) 510-3708

Specialties & licenses 1

Addresses

Other names 1

• The Ranch Mississippi Doing business as

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1699175042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670610",
            "telephone_number": "615-567-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 HIGHWAY 43 N",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477240",
            "telephone_number": "601-829-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENTS BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2014-09-03",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ranch Mississippi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhae'Ven Darby Ellis Smith, DPT
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• Mary Sobiesk, DMD
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• Substance Abuse Rehabilitation Facility in Brandon, MS
• Providers in Brandon, MS by specialty
• Substance Abuse Rehabilitation Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.