Organization Active NPI

SMH Specialized Care LLC

  • Community/Behavioral Health Agency
  • Leakesville, MS
National Provider Identifier
1750979423
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.