OrganizationActive
Beacon Behavioral of Mississippi, LLC
NPI 1134962525 · Psychiatry Physician · Flowood, MS
Provider details
- NPI number
- 1134962525
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Beacon Behavioral of Mississippi, LLC
- Organization subpart
- Yes
- Authorized official
- Kimberly Glaveskas, Credentialing Supervisor(443) 962-3945
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3531 Lakeland Dr Ste 1060
Flowood, MS 39232-8016
Phone: (301) 420-5810
Fax: (601) 420-5811
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 306600
Nashville, TN 37230-6600
Other names (DBA / former)
- Doing business as
- Precise Clinical Neuroscience Specialists
- Doing business as
- Precise Clinical Neuroscience Specialists
Additional practice locations (3)
- 104 Southpointe DrByram, MS 39272-5565Phone: (601) 420-5810Fax: (601) 420-5811
- 230 Trace Colony Park Dr Ste 4Ridgeland, MS 39157-8851Phone: (601) 420-5810Fax: (601) 420-5811
- 901 Jackson StVicksburg, MS 39183-2519Phone: (601) 420-5810Fax: (601) 420-5811
Registry dates
- Enumerated
- 2024-06-14
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.