National Provider Identifier Database

STORK MENTALHEALTH WELLNESS LLC
Professional


Contact Information

STORK MENTALHEALTH & WELLNESS , LLC
317 E CAPITOL ST STE 200317
JACKSON, MS39201-3405
Phone: 601-844-7696
Fax: 601-861-4940
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X
Health & Wellness Coach 171400000X
Marriage & Family Therapist 106H00000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for STORK MENTALHEALTH & WELLNESS , LLC

NPI Number 1588246128
Legal business name
LBN
STORK MENTALHEALTH & WELLNESS , LLC
Authorized official RANARDA WRIGHT - (BUSINESS OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/23/2021
Last updated 07/03/2025 - About 11 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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