OrganizationActive
Journeypure Southaven, LLC
NPI 1336681584 · Substance Use Disorder Rehabilitation Clinic/Center · Southaven, MS
Provider details
- NPI number
- 1336681584
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Cooper, Human Resources(662) 536-6542
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
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
8829 Centre St
Southaven, MS 38671-2610
Phone: (662) 536-6542
Street-level locationGet directions
Mailing address
8829 Centre St
Southaven, MS 38671-2610
Registry dates
- Enumerated
- 2016-11-04
- Last updated
- 2020-06-30
- Certified
- 2020-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.