Faces and Voices of Recovery Mississippi

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

251V00000X Issued in MS

Legal business name

FACES AND VOICES OF RECOVERY MISSISSIPPI

Doing business as

mississippi recovery community organization collaborative

Practice address

412 Martin Luther King Jr Dr
Brookhaven, MS 39601-3381

Phone

(601) 455-7488

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Curtis H Oliver, SOCAIAL PSYCHOLOGIST

Title

Founder/Ceo

Phone

(601) 455-7488

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• mississippi recovery community organization collaborative Doing business as

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1952832263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MARTIN LUTHER KING JR DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013381",
            "telephone_number": "601-455-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MARTIN LUTHER KING JR DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013381",
            "telephone_number": "601-455-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACES AND VOICES OF RECOVERY MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "601-455-7488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SOCAIAL PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MS",
            "license": "251V00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4216108360",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mississippi recovery community organization collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Voluntary or Charitable Agency in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Voluntary or Charitable Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.