Rebecca Blount LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REBECCA BLOUNT LLC

Practice address

520A W Canal St
Picayune, MS 39466-3915

Phone

(601) 599-9500

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca G. Blount, PMHNP

Title

Owner

Phone

(601) 569-1567

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desarae Swilley Rice, LCSW

  • Clinical Social Worker
  • Picayune, MS
  • NPI 1629321344
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1902395577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520A W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663915",
            "telephone_number": "769-926-2511",
            "fax_number": "769-926-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520A W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663915",
            "telephone_number": "601-599-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BLOUNT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-569-1567",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD OF NURSING",
            "identifier": "856788",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tram Bui Quang, PHARMD.
• Maribeth B Ramberg, RPT
• Emma Ray, OTR/L
• Jeffery Todd Rayburn, LPC
• Ready, Set, Go Therapy, LLC
• Mauricio Rendon Bernot, MD
• RH Emergency Medicine of Highland Community LLC
• RH Hospitalist Medicine of Highland Community LLC
• Rhonda Sanders, LCSW, LLC
• Desarae Swilley Rice, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Picayune, MS
• Providers in Picayune, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.