OrganizationActive
Desoto Wellness Clinic LLC
NPI 1750051173 · Addiction (Substance Use Disorder) Counselor · Southaven, MS
Provider details
- NPI number
- 1750051173
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Authorized official
- Cedric Edwards, Medical Director
Practice location
8829 Centre St Ste 100
Southaven, MS 38671-2610
Phone: (662) 934-8671
Mailing address
222 Southlakes Dr
Grenada, MS 38901-8499
Registry dates
- Enumerated
- 2021-09-16
- Last updated
- 2021-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.