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

Desoto Familycounseling Center

Organization Pediatric Physical Therapist · NPI 1114469640

Desoto Familycounseling Center is a Pediatric Physical Therapist in Southaven, Mississippi. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

6858 Swinnea Rd Bldg 4
Southaven, MS 38671-9493
Phone: (662) 772-5937
Fax: (662) 772-5940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1114469640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wood — Office Manager · (662) 772-5937
NPI enumeratedNovember 15, 2016
Last updated in NPPESNovember 15, 2016
Mailing address6858 Swinnea Rd, Building 4, Southaven, MS 38671-9493

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