OrganizationActive
Vicksburg Community Center
NPI 1407284102 · Community/Behavioral Health Agency · Vicksburg, MS
Provider details
- NPI number
- 1407284102
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ashley Johnson, Director(601) 218-5927
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2845 Clay St
Vicksburg, MS 39183-3141
Phone: (601) 218-5927
Street-level locationGet directions
Mailing address
Po Box 821634
Vicksburg, MS 39182-1634
Registry dates
- Enumerated
- 2013-10-16
- Last updated
- 2013-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.