Active NPI
Defining Wellness Centers Inc.
- Substance Abuse Rehabilitation Facility
- Flowood, MS
National Provider Identifier
1861047250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- DEFINING WELLNESS CENTERS INC.
- Practice address
- 630 Lakeland East Dr Ste a
Flowood, MS 39232-9565 - Phone
- (855) 790-9303
- NPI assigned
- Aug 3, 2019
- 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
- Justin Daniels
- Title
- Owner
- Phone
- (717) 814-1970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
630 Lakeland East Dr Ste a
Flowood, MS 39232-9565
Mailing address
3949 Highway 43 N
Brandon, MS 39047-7240
Phone (855) 790-9303
National Provider Directory
National Provider Directory- Tax ID family
- Defining Wellness Centers Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Brandon, MS
- NPI 1609409762
Locations
630 Lakeland East Dr
#A
Flowood, MS 39232
Phone (855) 790-9303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574035200000",
"number": "1861047250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 HIGHWAY 43 N",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477240",
"telephone_number": "855-790-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 LAKELAND EAST DR STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329565",
"telephone_number": "855-790-9303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFINING WELLNESS CENTERS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-03",
"last_updated": "2019-11-18",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-814-1970"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.