National Provider Identifier Database

ADDICTION CAMPUSES OF MISSISSIPPI LLC
Rehabilitation, Substance Use Disorder


Contact Information

ADDICTION CAMPUSES OF MISSISSIPPI, LLC
478 MARATHON WAY STE 4
SOUTHAVEN, MS38671-9523
Phone: 662-510-5980
Fax: 662-510-5965
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for ADDICTION CAMPUSES OF MISSISSIPPI, LLC

NPI Number 1487067237
Legal business name
LBN
ADDICTION CAMPUSES OF MISSISSIPPI, LLC
Authorized official MARK EDWARDS - (CFO)
Entity Organization
Organization subpart No
Enumeration date 06/10/2014
Last updated 02/23/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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