National Provider Identifier Database

ADDICTION CAMPUSES OF MISSISSIPPI LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

ADDICTION CAMPUSES OF MISSISSIPPI, LLC
340 STATELINE RD W
SOUTHAVEN, MS38671-1610
Phone: 662-510-5387
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for ADDICTION CAMPUSES OF MISSISSIPPI, LLC

NPI Number 1356703524
Legal business name
LBN
ADDICTION CAMPUSES OF MISSISSIPPI, LLC
Authorized official MARK EDWARDS - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/25/2016
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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