AUTOSPA-HEALTHY YOUTH CENTER


Address: 1202 Desoto Ave, Suite A, Clarksdale, MS 38614
Phone: 6622091202

AUTOSPA-HEALTHY YOUTH CENTER (NPI# 1063957751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063957751
Entity Type Organization
Organization Name AUTOSPA-HEALTHY YOUTH CENTER
Other Organization Name A HEALTHY YOU WEIGHTLOSS & WELLNESS CENTER
Practice Address 1202 Desoto Ave
Suite A
Clarksdale
MS 38614
Practice Telephone 6622091202
Practice Fax Number 6624831627
Mailing Telephone 6622091202
Mailing Fax Number 6624831627
Enumeration Date 2017-01-04
Last Update Date 2017-01-04
Authorized Official Name GREGORY HOSKINS (PRESIDENT)
Authorized Official Telephone 6622091202
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
A HEALTHY YOU WEIGHTLOSS & WELLNESS CENTER Doing Business As Name - Organization

Office Location

Street Address 1202 DESOTO AVE
SUITE A
City CLARKSDALE
State MS
Zip Code 38614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144785684 Undra L Haggan Nurse Practitioner 1202 Desoto Ave, Clarksdale, MS 38614-6937 2019-02-08
1982140448 A Healthy You Medical Clinic, 'l.l.c.' Nurse Practitioner 1202 Desoto Ave, Suite A, Clarksdale, MS 38614-6937 2017-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386265627 Lillie Mae Lockett Technician 1025 Ritchie Ave, Clarksdale, MS 38614 2020-04-28
1700226123 Nikki Nikkia Cager Internal Medicine 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 2013-06-29
1205186947 Celestial Comfort Care Hospice Hospice Care, Community Based 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 2012-09-10
1063667129 The Smile Center of Clarksdale Clinic/Center 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 2008-11-17
1801060033 Clarksdale Municipal School District Local Education Agency (LEA) Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 2008-04-18
1184806150 Mary A Williams Nurse Practitioner 125 Highway 322, Clarksdale, MS 38614 2007-12-03
1114040367 William F Wilson Jr. Dentist 850 Desoto Ave, Extended, Clarksdale, MS 38614 2007-04-10
1952434920 Kathleen Tinnel Nurse Practitioner 2245 N State St, Clarksdale, MS 38614 2007-03-13
1497888457 Carole L Mangrem Pediatrics 2245 N Starte St, Clarksdale, MS 38614 2007-03-13
1811050313 Long Family Dentistry Inc Dentist 527 Desoto Avenue, Clarksdale, MS 38614 2006-12-18
Find all providers in zip 38614

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184806150 Mary A Williams Nurse Practitioner 125 Highway 322, Clarksdale, MS 38614 2007-12-03
1376752832 Dallas Maxwell Earnest Nurse Practitioner 1015 Lee Dr Ste 13, Clarksdale, MS 38614-3619 2007-05-22
1831132562 Advanced Medical Rehabilitation, LLC Nurse Practitioner 1051 Lee Dr, Suite 1b, Clarksdale, MS 38614-3615 2006-06-13
1447251632 Pamela Wilson Nurse Practitioner 860 Desoto Ext, Clarksdale, MS 38614 2005-08-10
1659370229 Patricia White Nurse Practitioner 2245 North State Street, Clarksdale, MS 38614-7202 2005-07-18
1366042277 Sylvester Lewis Thornton Nurse Practitioner 1970 Hospital Dr, Clarksdale, MS 38614-7202 2020-10-29
1225642473 Tammy Sherrell Campbell Nurse Practitioner 619 S State St, Clarksdale, MS 38614-6319 2020-09-04
1841817707 Kristalin Young Presley Nurse Practitioner 125 Highway 322, Clarksdale, MS 38614-4620 2020-06-26
1407487069 Leah Lamb Rybolt Nurse Practitioner 1970 Hospital Dr, Clarksdale, MS 38614-7202 2020-01-31
1780157727 Megan Green Carpenter Nurse Practitioner 551 Medical Dr, Clarksdale, MS 38614-6733 2019-01-02
Find all providers in CLARKSDALE

Competitor

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City CLARKSDALE
Zip Code 38614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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