Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desoto Family Wellness Center, LLC

Organization Professional Counselor · NPI 1376143024

Desoto Family Wellness Center, LLC is a Professional Counselor in Southaven, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3495 Cobblestone Blvd S
Southaven, MS 38672-7075
Phone: (662) 892-2885
Fax: (662) 892-2889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Professional Counselor Taxonomy 101YP2500X
Counseling Psychologist Taxonomy 103TC1900X
Family Medicine Physician Taxonomy 207Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Family Nurse Practitioner Taxonomy 363LF0000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1376143024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Ollar — Office Manager · (662) 892-2885
NPI enumeratedOctober 30, 2020
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing address3495 Cobblestone Blvd S, Southaven, MS 38672-7075

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