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Desoto Family Wellness Center, LLC

Multi-Specialty Clinic/Center in Southaven, MS · enumerated 2020 · authorized official Amy Ollar, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376143024

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Registry record

Entity type Organization (Type 2)
Legal business name Desoto Family Wellness Center, LLC
Practice address 3495 Cobblestone Blvd S, Southaven, MS, 38672
Phone (662) 892-2885
Fax (662) 892-2889
Enumeration date Oct 30, 2020
Last updated in NPPES Sep 18, 2023

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Amy Ollar
Title Office Manager
Phone (662) 892-2885

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Desoto Family Wellness Center, LLC?
The NPI for Desoto Family Wellness Center, LLC is 1376143024, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Desoto Family Wellness Center, LLC?
NPPES lists Amy Ollar (Office Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-18.