Organization
JOURNEYPURE SOUTHAVEN, LLC
Active
Organization
JOURNEYPURE SOUTHAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE THOMPSON MD (MEDICAL DIRECTOR)
(662) 536-6542
Entity
Organization
Contact information
Practice address
8829 CENTRE ST, SOUTHAVEN, MS 38671-2610
(662) 536-6542
(662) 314-9689
Mailing address
8829 CENTRE ST, SOUTHAVEN, MS 38671-2610
(662) 536-6542
(662) 314-9689
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MS
Enumeration date
11/23/2016
Last updated
06/16/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up