Provider Demographics
| NPI: | 1912583154 |
|---|---|
| Name: | BEHAVIORAL SOLUTIONS OF MISSISSIPPI, LLC. |
| Entity type: | Organization |
| Organization Name: | BEHAVIORAL SOLUTIONS OF MISSISSIPPI, LLC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER/CLINICAL DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LASHANNON |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PINKSTON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | BCBA |
| Authorized Official - Phone: | 601-900-5710 |
| Mailing Address - Street 1: | 514 NORTHWEST ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CARTHAGE |
| Mailing Address - State: | MS |
| Mailing Address - Zip Code: | 39051-3636 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 601-900-5710 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 514 NORTHWEST ST |
| Practice Address - Street 2: | |
| Practice Address - City: | CARTHAGE |
| Practice Address - State: | MS |
| Practice Address - Zip Code: | 39051-3636 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 601-900-5710 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-03-18 |
| Last Update Date: | 2024-08-09 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 261QA3000X | Ambulatory Health Care Facilities | Clinic/Center | Augmentative Communication |
| No | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | Community Health |
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities |
| No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| No | 261QP2400X | Ambulatory Health Care Facilities | Clinic/Center | Prison Health |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | |
| No | 253Z00000X | Agencies | In Home Supportive Care | |
| No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| No | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
| No | 251B00000X | Agencies | Case Management | |
| No | 251300000X | Agencies | Local Education Agency (LEA) |
