Provider Demographics
NPI:1912583154
Name:BEHAVIORAL SOLUTIONS OF MISSISSIPPI, LLC.
Entity Type:Organization
Organization Name:BEHAVIORAL SOLUTIONS OF MISSISSIPPI, LLC.
Other - Org Name:BEHAVIOR CONNECT HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LASHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKSTON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:601-900-5710
Mailing Address - Street 1:514 NORTHWEST ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MS
Mailing Address - Zip Code:39051-3636
Mailing Address - Country:US
Mailing Address - Phone:601-900-5710
Mailing Address - Fax:
Practice Address - Street 1:514 NORTHWEST ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MS
Practice Address - Zip Code:39051-3636
Practice Address - Country:US
Practice Address - Phone:601-900-5710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation