Provider Demographics
| NPI: | 1477341188 |
|---|---|
| Name: | COMPREHENSIVE COMMUNITY SERVICES, LLC |
| Entity type: | Organization |
| Organization Name: | COMPREHENSIVE COMMUNITY SERVICES, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER/CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SHARON |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HOLLIDAY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 601-940-5975 |
| Mailing Address - Street 1: | 544 SPRINGHILL XING |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BRANDON |
| Mailing Address - State: | MS |
| Mailing Address - Zip Code: | 39047-5019 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 601-940-5975 |
| Mailing Address - Fax: | 601-940-5975 |
| Practice Address - Street 1: | 544 SPRINGHILL XING |
| Practice Address - Street 2: | |
| Practice Address - City: | BRANDON |
| Practice Address - State: | MS |
| Practice Address - Zip Code: | 39047-5019 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 601-940-5975 |
| Practice Address - Fax: | 601-940-5975 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-04-30 |
| Last Update Date: | 2025-05-01 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 252Y00000X | Agencies | Early Intervention Provider Agency | |
| No | 251B00000X | Agencies | Case Management | |
| No | 251E00000X | Agencies | Home Health | |
| No | 251G00000X | Agencies | Hospice Care, Community Based | |
| No | 251K00000X | Agencies | Public Health or Welfare | |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 251V00000X | Agencies | Voluntary or Charitable | |
| No | 253Z00000X | Agencies | In Home Supportive Care | |
| No | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | Community Health |
| No | 261QF0050X | Ambulatory Health Care Facilities | Clinic/Center | Family Planning, Non-Surgical |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |
