OrganizationActive
Illuminated Direction
NPI 1679184980 · Mental Health Clinic/Center (Including Community Mental Health Center) · Biloxi, MS
Provider details
- NPI number
- 1679184980
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Lacewell, Owner(919) 450-6446
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1903 Pass Rd
Biloxi, MS 39531-4119
Phone: (228) 209-9482
Fax: (601) 884-4466
Approximate (ZIP-level) locationGet directions
Mailing address
1903 Pass Rd
Biloxi, MS 39531-4119
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2021-01-08
- Certified
- 2021-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.