# CROWNED WITH PURPOSE MENTAL HEALTH WELLNESS SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003710971
- **Authorized official:** KANISHA M MCKNIGHT PMHNP (NURSE PRACTITIONER)
- **Authorized official phone:** (601) 814-0757

## Contact information

- **Practice address:** 612 DELEWARE AVE, SUITE 18, MCCOMB, MS 39648
- **Practice address phone:** (601) 803-1147
- **Mailing address:** 612 DELEWARE AVE, SUITE 18, MCCOMB, MS 39648
- **Mailing address phone:** (601) 803-1147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/05/2026