Heal Thy Self Pediatric Iop PLLC

Primary specialty

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

Legal business name

HEAL THY SELF PEDIATRIC IOP PLLC

Practice address

731 Avignon Dr Ste 1
Ridgeland, MS 39157-5171

Phone

(601) 521-0213

Fax

(601) 965-9759

NPI assigned

Mar 3, 2026

Last updated

Mar 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorothy Sade Smith, LCSWNPI 1710326194

Title

Owner/Clinical Director

Phone

(601) 521-0213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorothy S Smith, LCSW

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1710326194
  NPD Authorized official

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1922953082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 AVIGNON DR STE 1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575171",
            "telephone_number": "601-521-0213",
            "fax_number": "601-965-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 AVIGNON DR STE 1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575171",
            "telephone_number": "601-521-0213",
            "fax_number": "601-965-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL THY SELF PEDIATRIC IOP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "SADE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "601-521-0213",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Caroline King Haynes, SLP
• Hays Behavioral Health & Wellness Consultants, PLLC
• Tonya F Hays, PH.D.
• Head to Toe Physical Therapy
• Heal Thy Self Counseling Services, LLC
• Health Care for Life Ms, LLC
• Health Care Medical
• Health Care Medical
• Health Care Medical Respiratory & Rehab
• Health Heroes of Mississippi, Inc. (Health Heroes of Mississippi)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ridgeland, MS
• Providers in Ridgeland, 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 Mar 3, 2026; 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.