Whalio Doctors

NPI 1912214792

Desoto Family Counseling Center PLLC

Organisation Community/Behavioral Health Agency Southaven, MS

Practice location

Address
8626 Airways Blvd, Southaven, MS 38671-2603
Phone
(662) 772-5937
Fax
(662) 772-5940

Authorised official

Name
Anthony Jerome Wood
Title
Owner/Director
Phone
(662) 772-5937

Registered specialties (7)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 1326 (MS)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Pediatric Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251P0200X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Registry record

NPI
1912214792
Entity type
Organization
NPI issued
1 Sep 2010
Record last updated
1 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.