Active NPI
SMH Specialized Care LLC
- Community/Behavioral Health Agency
- Leakesville, MS
National Provider Identifier
1750979423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SMH SPECIALIZED CARE LLC
- Practice address
- 1616 Williams Dr
Leakesville, MS 39451-5622 - Phone
- (601) 550-1881
- NPI assigned
- Jan 7, 2021
- Last updated
- Jun 24, 2025
- 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
- Mrs. Shalonda Marie Hollingsworth
- Title
- Executive Director
- Phone
- (601) 550-1881
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1616 Williams Dr
Leakesville, MS 39451-5622
Mailing address
PO Box 97
Beaumont, MS 39423-0097
Phone (601) 550-1881
National Provider Directory
National Provider DirectoryLocations
110 S 27th Ave
Hattiesburg, MS 39401
131 Stepts Ave
Hattiesburg, MS 39401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1750979423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "BEAUMONT",
"state": "MS",
"postal_code": "394230097",
"telephone_number": "601-550-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 WILLIAMS DR",
"city": "LEAKESVILLE",
"state": "MS",
"postal_code": "394515622",
"telephone_number": "601-550-1881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMH SPECIALIZED CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-07",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A",
"authorized_official_last_name": "HOLLINGSWORTH",
"authorized_official_first_name": "SHALONDA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "601-550-1881",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leakesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.