METRO TREATMENT OF MISSISSIPPI LP (NPI# 1861928541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861928541 |
| Entity Type | Organization |
| Organization Name | METRO TREATMENT OF MISSISSIPPI LP |
| Other Organization Name | DESOTO COUNTY TREATMENT CENTER |
| Practice Address |
8900 Delta Bluffs Cove Walls MS 38680 |
| Mailing Address |
2500 Maitland Center Pkwy Suite 250 Maitland FL 32751-7224 |
| Practice Telephone | 6625104660 |
| Mailing Telephone | 4073517080 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MR. RODNEY WILLIAMS (CFO) |
| Authorized Official Telephone | 4073517080 |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO TREATMENT OF MISSISSIPPI LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Desoto County Treatment Center | Doing Business As Name - Organization |
| Street Address |
8900 DELTA BLUFFS COVE |
| City | WALLS |
| State | MS |
| Zip Code | 38680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093203978 | Adrian Hall | Counselor | 8900 Delta Bluffs Cove, Walls, MS 38680 | 2018-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144625369 | Christian Muenyi | Pharmacist | 5840 Cedar Lake Drive N, Walls, MS 38680 | 2014-10-30 |
| 1174798417 | Mississippi Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6040 Goodman Rd, Walls, MS 38680 | 2008-04-28 |
| 1407969330 | City of Horn Lake | Ambulance | 6363 Highway 301, Walls, MS 38680 | 2006-08-16 |
| 1194213132 | Alicia Nicole Danley | Counselor | 8900 Delta Bluff Cv, Walls, MS 38680-4400 | 2018-04-25 |
| 1508354945 | Ishita Pareek | Counselor | 8900 Delta Bluff Cv, Walls, MS 38680-4400 | 2018-05-01 |
| 1417570029 | Vrf Eye Specialty Group, Plc | Ophthalmology | 5800 Delta View Rd, Walls, MS 38680-8341 | 2020-05-19 |
| 1790249076 | Curstin Deneen Temes | Occupational Therapy Assistant | 7748 Tucker Dr, Walls, MS 38680-8579 | 2019-01-30 |
| 1487041364 | A.d.l. Transportation LLC | Non-emergency Medical Transport (VAN) | 7753 Bailee Ln, Walls, MS 38680-8580 | 2015-04-19 |
| 1154787646 | Compassionate Hearts Home Care Services, LLC | In Home Supportive Care | 7746 Mccarson Ln, Walls, MS 38680-9553 | 2016-01-13 |
| 1265645527 | Desoto County Schools | Local Education Agency (LEA) | 6131 Delta View Rd, Walls, MS 38680-9602 | 2007-05-07 |
| Find all providers in zip 38680 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124559976 | Metro Treatment of Mississippi, Lp | Clinic/Center | 1989 Pass Rd, Biloxi, MS 39531-4103 | 2017-03-23 |
| 1336688845 | Metro Treatment of Mississippi, Lp | Clinic/Center | 2419 10th St, Meridian, MS 39301-5040 | 2017-02-16 |
| 1629510540 | Mississippi Comprehensive Treatment Centers, LLC | Clinic/Center | 1935 Lakeland Dr Ste 900, Jackson, MS 39216-5028 | 2016-11-09 |
| 1467998344 | Mississippi Comprehensive Treatment Centers, LLC | Clinic/Center | 14070 Dedeaux Rd, Gulfport, MS 39503-4502 | 2017-01-16 |
| 1164878419 | Ann Marshall | Clinic/Center | 2964 Terry Rd, Jackson, MS 39212-3055 | 2016-05-05 |
Please comment or provide details below to improve the information on METRO TREATMENT OF MISSISSIPPI LP.
| 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.