Extra Mile Recovery, NPI 1164948196
Substance Abuse Rehabilitation Facility in Mantachie, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1164948196 |
| NPI Entity Type | Organization |
| Provider Name | Extra Mile Recovery |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 720 Oak Grove Rd, Mantachie, MS, US |
| Provider Mailing Address | 720 Oak Grove Rd, Mantachie, MS, US, 388558469 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. LPC, NCC, CADC-II Rodney L Farrar |
| Official Position | EXECUTIVE/CLINICAL DIRECTOR |
| Phone | 662-321-2329 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Substance Abuse Rehabilitation Facility |
| Classification | |
| Group | |
| Description | 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. |
Other Providers in MS, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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MISS MOT, OTR/L, SCLV Shirley Blanton Individual |
706 Highway 82 W |
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DO Madison Leigh Lindgren Individual |
2500 N State St |
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Optimum Occupational Therapy Services, Llc Organization |
706 Highway 82 W |
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Jacqueline Cartwright Individual |
3171 Quartz Dr |
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|
MSN, APRN, FNP-C Felisa Jeannette Hall Individual |
1046 Division St |
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IDD WAIVER SERVICES Debbie Jones Individual |
405 N First St |
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IDD WAIVER SERVICES Beverly Johnson Individual |
1406 Mississippi Dr |
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|
CRISIS SERVICES Jaricia Kinchen Individual |
934 West Dr |
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|
IDD WAIVER SERVICES Monolisa Keyes Individual |
1224 Hillcrest Dr |
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|
IDD WAIVER SERVICES Felicia Keller Individual |
405 N First St |
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|
IDD WAIVER SERVICES Sharika Jones Individual |
106 Mize St Apt 26 |
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|
IDD WAIVER SERVICES Loverta Jones Individual |
5192 Highway 11 N |
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IDD WAIVER SERVICES Tamekia Mckines Individual |
119 Chambliss Dr |
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Mary Fowler Individual |
5192 Highway 11 N |
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|
IDD WAIVER SERVICES Porosha Gaines Individual |
106 Mize St Apt 26 |
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|
DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond Individual |
232 Market St |
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|
IDD WAIVER SERVICES Fraxine Graves Individual |
1110 42nd Ave |
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|
IDD WAIVER SERVICES Judy Jones Individual |
405 N First St |
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|
IDD WAIVER SERVICES Michael Mcdonald Individual |
41 Bonhomie Rd |
||
|
IDD WAIVER SERVICES Pamela Mcandrews Individual |
106 Mize St Apt 26 |
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