Organization Active NPI

A Safe Place Wellness Solutions LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Osyka, MS
National Provider Identifier
1780424671
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
A SAFE PLACE WELLNESS SOLUTIONS LLC
Practice address
1081 Second St
Osyka, MS 39657-8076
Phone
(769) 264-7004
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Dr. Tomekia Luckett, PHD, APRN, PMHNP-BCNPI 1891553210
Title
Provider
Phone
(601) 600-2050

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1081 Second St
Osyka, MS 39657-8076

Mailing address

1044 Mallard TRL
Summit, MS 39666-5152
Phone (601) 341-3760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021003669 MS Part B Supplier - Clinic/Group Practice 5395233407 Receives reassigned benefits from 1 practitioner
Practice locations: Osyka, MS

National Provider Directory

National Provider Directory

Locations

1014 Robb St
Ste D
Summit, MS 39666

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": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1780424671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 MALLARD TRL",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396665152",
            "telephone_number": "601-341-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 SECOND ST",
            "city": "OSYKA",
            "state": "MS",
            "postal_code": "396578076",
            "telephone_number": "769-264-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFE PLACE WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "TOMEKIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "601-600-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osyka, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.