OrganizationActive
Your Family Clinic LLC
NPI 1891192068 · Community/Behavioral Health Agency · Petal, MS
Provider details
- NPI number
- 1891192068
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Daniel Moore, Owner(601) 544-8935
- License
- 948493 (MS)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
514 Old Richton Rd
Petal, MS 39465-2920
Phone: (601) 544-8935
Fax: (601) 544-8935
Approximate (ZIP-level) locationGet directions
Mailing address
67 Mars Hill Rd
Petal, MS 39465-8343
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.