PEACE WELLNESS CENTER LLC (NPI# 1538411129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538411129 |
| Entity Type | Organization |
| Organization Name | PEACE WELLNESS CENTER LLC |
| Practice Address |
502 Mulberry St Vaiden MS 39176-9648 |
| Mailing Address |
Po Box 466 Olive Branch MS 38654-0466 |
| Practice Telephone | 6012927015 |
| Practice Fax Number | 8668446508 |
| Mailing Telephone | 6012927015 |
| Mailing Fax Number | 8005177659 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | LOUISE REID (PROVIDER) |
| Authorized Official Telephone | 6012927015 |
| Authorized Official Credential | CFP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
R852760 | MS | Nursing Service Providers |
| Street Address |
502 MULBERRY ST |
| City | VAIDEN |
| State | MS |
| Zip Code | 39176-9648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770019036 | Peace Wellness Mobile Unit | Nursing Facility/Intermediate Care Facility | 502 Mulberry St, Rear Bldg, Vaiden, MS 39176-9648 | 2017-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255757233 | Caring Hearts Home Care LLC | Nursing Care | 374 County Road 48, Vaiden, MS 39176-5047 | 2014-03-13 |
| 1144210394 | Clc of Vaiden, LLC | Skilled Nursing Facility | 868 Mulberry St, Vaiden, MS 39176-5385 | 2005-10-27 |
| 1023522448 | Courtney Williams | Occupational Therapist | 868 Mulberry St, Vaiden, MS 39176-5385 | 2017-11-21 |
| 1336520824 | Anna King | Speech-Language Pathologist | 868 Mulberry St, Vaiden, MS 39176-5385 | 2015-06-10 |
| 1023321254 | Georgianna Tappa | Occupational Therapy Assistant | 868 Mulberry St, Vaiden, MS 39176-5385 | 2010-07-16 |
| 1942513221 | Amber Shannon Joiner | Speech-Language Pathologist | 868 Mulberry St, Vaiden, MS 39176-5385 | 2010-07-15 |
| 1053439133 | Mallory Community Health | Clinic/Center | 201a Magnolia St, Vaiden, MS 39176-5644 | 2007-03-27 |
| 1841727971 | State of Mississippi- University of Mississippi Medical Center | Clinic/Center | 201a Magnolia St, Vaiden, MS 39176-5644 | 2017-05-19 |
| 1255571980 | Rava Pittman | Nurse Practitioner | 201a Magnolia St, Vaiden, MS 39176-5644 | 2009-02-20 |
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376008672 | Pamela N Fields | Registered Nurse | 43 Cambridge Cir, Picayune, MS 39466-9278 | 2019-01-31 |
| 1235586363 | Quality Med Screens, LLC | Registered Nurse | 875 Northpark Dr, Bldg 2 Suite 100, Ridgeland, MS 39157-5238 | 2016-05-18 |
| 1609177492 | Megan Tamelia Ladner | Registered Nurse | 11440 Bayou Pl, Ocean Springs, MS 39564-7952 | 2010-11-09 |
| 1386720241 | Betty Diane Edrington | Registered Nurse | 2 Tower Plaza, Pineville Road, Long Beach, MS 39560 | 2006-10-31 |
| 1528004249 | Monica M, Jones | Registered Nurse | 930 Main St, Greenville, MS 38701-4111 | 2006-06-21 |
| 1316984230 | Lesa Ferrell Waters | Registered Nurse | 109 North Front St., Sandersville, MS 39477-0001 | 2006-05-31 |
| 1710529888 | Brittany Alaina Crowell Miller | Registered Nurse | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2019-10-10 |
| 1760949390 | Ladaryl Lorraine Watkins | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2019-03-01 |
| 1568972586 | Nicholas P Robertson | Registered Nurse | 301 Fisher St, Keesler Afb, MS 39534-2508 | 2017-10-04 |
| 1407379084 | Edward Eray Howell | Registered Nurse | 859 Winter St, Lucedale, MS 39452-6603 | 2017-07-25 |
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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.