Psychosocial Boutique, PLLC.
NPI 1841846904 · Mental Health Clinic/Center (Including Community Mental Health Center) · Horn Lake, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psychosocial Boutique, PLLC. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Horn Lake, MS (NPI 1841846904).
Provider details
- NPI number
- 1841846904
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Syrenia Johnson, Owner/Practitioner(662) 892-2660
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 1350 Sunset Dr Ste DGrenada, MS 38901-4079Phone: (662) 892-2660
- 144 S Thomas St Ste 211Tupelo, MS 38801-5331Phone: (662) 892-2660
Registry dates
- Enumerated
- 2019-08-14
- Last updated
- 2025-11-29
- Certified
- 2025-11-29
Frequently asked questions
- What is Psychosocial Boutique, PLLC.'s NPI number?
- Psychosocial Boutique, PLLC.'s National Provider Identifier (NPI) is 1841846904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psychosocial Boutique, PLLC.?
- Psychosocial Boutique, PLLC. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Psychosocial Boutique, PLLC. located?
- Psychosocial Boutique, PLLC.'s practice location on file with NPPES is 1751 Dancy Blvd, Horn Lake, MS 38637-1916.
- What is Psychosocial Boutique, PLLC.'s phone number?
- The practice phone number listed in the NPPES registry for Psychosocial Boutique, PLLC. is (662) 892-2660.
- Does Psychosocial Boutique, PLLC. accept Medicare?
- Psychosocial Boutique, PLLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psychosocial Boutique, PLLC.?
- The authorized official listed on Psychosocial Boutique, PLLC.'s NPPES record is Syrenia Johnson, Owner/Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psychosocial Boutique, PLLC.'s NPI active?
- Yes — Psychosocial Boutique, PLLC.'s NPI (1841846904) is active in the NPPES registry as of the last update on 2025-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.