OrganizationActive
West Mississippi Behavioral Service, LLC
NPI 1952047391 · Substance Abuse Rehabilitation Facility · Vicksburg, MS
Provider details
- NPI number
- 1952047391
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Daniel Edney, Owner / LLC Member(601) 831-2750
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3201 Wisconsin Ave
Vicksburg, MS 39180-5350
Phone: (601) 636-8006
Street-level locationGet directions
Mailing address
3201 Wisconsin Ave
Vicksburg, MS 39180-5350
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2022-05-09
- Certified
- 2022-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.