MISSISSIPPI CHILDREN'S HOME SOCIETY - CANOPY CHILDREN'S SOLUTIONS (NPI# 1194230789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194230789 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI CHILDREN'S HOME SOCIETY - CANOPY CHILDREN'S SOLUTIONS |
| Practice Address |
1513 Lakeland Dr Ste 200 Jackson MS 39216-4861 |
| Mailing Address |
1465 Lakeland Dr Jackson MS 39216-4719 |
| Practice Telephone | 7697771000 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | MICHELLE WALKER (BUSINESS MANAGER) |
| Authorized Official Telephone | 7697771046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3531 Lakeland Dr Ste 1052, Flowood, MS 392328016 | 7697771000 |
| Street Address |
1513 LAKELAND DR STE 200 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311279 | Kimberly Antoinette Culley | Counselor | 1513 Lakeland Dr Ste 200, Jackson, MS 39216-4861 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1750863858 | The Growing Tree | Clinic/Center | 818 Winifred St, Jackson, MI 49202-3062 | 2018-09-05 |
| 1659516318 | Teton Psychology Clinic, LLC | Clinic/Center | 460 South Cache Street, Jackson, WY 83001 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365922 | Changing Minds, LLC | Clinic/Center | 835 Highway 90 Ste 12, Bay St Louis, MS 39520-1607 | 2020-01-22 |
| 1366093791 | Region Ten State of Ms | Clinic/Center | 832 Highway 19 N Ste 510, Meridian, MS 39307-5876 | 2019-09-26 |
| 1568984292 | Ducere Investment Group Inc | Clinic/Center | 1312b Harrison Ave, Mccomb, MS 39648-2830 | 2017-07-14 |
| 1013141357 | Ideal Provider, LLC | Clinic/Center | 8869 Centre St # 3, Southaven, MS 38671-1725 | 2009-05-13 |
| 1003053034 | The Hope Center | Clinic/Center | 206 S 28th Ave, Hattiesburg, MS 39401-7154 | 2009-01-13 |
| 1710522842 | Transforming Minds Therapeutic Counseling Services, LLC | Clinic/Center | 253 Richmond Pointe Way, Richland, MS 39218-6601 | 2019-11-13 |
| 1376010934 | Pamela Giveans Np Pllc | Clinic/Center | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2018-10-31 |
| 1083980684 | Region Ten Commission On Mental Health | Clinic/Center | 1929 23rd Ave, Meridian, MS 39301-3108 | 2012-03-28 |
| 1003195967 | Psycamore, LLC | Clinic/Center | 2620 Executive Pl, Biloxi, MS 39531-3717 | 2011-08-10 |
| 1154410017 | Hattiesburg Clinic Pa | Clinic/Center | 2 Southern Pointe Parkway, Suite 200, Hattiesburg, MS 39402-2610 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
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| 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.