ONE SOLUTION CEREBRAL WELLNESS NPI 1235999681

NPI Information

  • NPI: 1235999681
  • Provider Name: ONE SOLUTION CEREBRAL WELLNESS
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 25D2302585
  • Address: 4063 GINGER DR STE D
    DIBERVILLE, MS
    ZIP 39540
  • Phone: (234) 239-5999

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NPI Details

ONE SOLUTION CEREBRAL WELLNESS is an addiction medicine internal medicine in Diberville, MS. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. ONE SOLUTION CEREBRAL WELLNESS NPI is 1235999681. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4063 GINGER DR STE D
DIBERVILLE, MS
ZIP 39540-705
Phone: (234) 239-5999
Fax: (234) 206-2761

The provider's authorized official is Todd J Hasson .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (234) 239-5999.

The CLIA number assigned to this NPI record is 25D2302585 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2024 and was last updated on 11/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
31041C0700XSocial WorkerClinicalNo
4207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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