Provider Demographics
NPI:1629430350
Name:WINDING ROADS CENTER
Entity Type:Organization
Organization Name:WINDING ROADS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NORRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:D-MIN
Authorized Official - Phone:910-610-7337
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:PLANTERSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38862-0157
Mailing Address - Country:US
Mailing Address - Phone:910-610-7337
Mailing Address - Fax:
Practice Address - Street 1:246 S VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-5022
Practice Address - Country:US
Practice Address - Phone:910-610-7337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty