Hope for Healing LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOPE FOR HEALING LLC

Practice address

114 Ball Ave
Tylertown, MS 39667-2102

Phone

(601) 303-0154

NPI assigned

Jun 17, 2022

Last updated

Mar 15, 2025By 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

Lacey Holmes, LCSWNPI 1821560319

Title

Owner/Member LLC

Phone

(601) 303-0154

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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.

• Lacey Broom Holmes, LCSW

  • Clinical Social Worker
  • McComb, MS
  • NPI 1821560319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1982335386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BALL AVE",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672102",
            "telephone_number": "601-303-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BALL AVE",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672102",
            "telephone_number": "601-303-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Hwy 27 North",
            "address_purpose": "LOCATION",
            "city": "Tylertown",
            "state": "MS",
            "postal_code": "39667",
            "country_code": "US",
            "telephone_number": "601-303-0154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE FOR HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "OWNER/MEMBER LLC",
        "authorized_official_telephone_number": "601-303-0154",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006950",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09536589",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hattiesburg Clinic, PA (Tylertown Dialysis Unit)
• Chelsea Hill, FNP-C
• Carol Hobgood, F.N.P.
• Tanya Marie Holmes-Morris
• Home Sweet Home Personal Care, LLC
• David Jameson, MD
• Rachel Johnson, CRNA
• K & D Transportation Service LLC
• Keystone Hospitalist Services of Ms Inc
• L & L Homemaker, LLC

• Clinical Social Worker in Tylertown, MS
• Providers in Tylertown, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.