Indianola Clinic, LLC
NPI 1164964565 · Mental Health Clinic/Center (Including Community Mental Health Center) · Leland, MS
Indianola Clinic, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Leland, MS (NPI 1164964565).
Provider details
- NPI number
- 1164964565
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Henry Womack, Vp of Administration(662) 686-3916
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Other names (DBA / former)
- Doing business as
- Leland Medical Clinic
Registry dates
- Enumerated
- 2016-11-16
- Last updated
- 2017-05-18
Frequently asked questions
- What is Indianola Clinic, LLC's NPI number?
- Indianola Clinic, LLC's National Provider Identifier (NPI) is 1164964565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indianola Clinic, LLC?
- Indianola Clinic, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Indianola Clinic, LLC located?
- Indianola Clinic, LLC's practice location on file with NPPES is 201 Baker Blvd, Leland, MS 38756-3401.
- What is Indianola Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Indianola Clinic, LLC is (662) 686-4121.
- Who is the authorized official for Indianola Clinic, LLC?
- The authorized official listed on Indianola Clinic, LLC's NPPES record is Henry Womack, Vp of Administration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indianola Clinic, LLC's NPI active?
- Yes — Indianola Clinic, LLC's NPI (1164964565) is active in the NPPES registry as of the last update on 2017-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.