DELTA THERAPY GROUP LLC NPI 1437816162

NPI Information

  • NPI: 1437816162
  • Provider Name: DELTA THERAPY GROUP, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 612 SUNFLOWER AVENUE EXT STE 12
    INDIANOLA, MS
    ZIP 38751
  • Phone: (662) 452-5072

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NPI Details

DELTA THERAPY GROUP, LLC is a mental health (including community mental health center) clinic center in Indianola, MS. DELTA THERAPY GROUP, LLC NPI is 1437816162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612 SUNFLOWER AVENUE EXT STE 12
INDIANOLA, MS
ZIP 38751-333
Phone: (662) 452-5072
Fax: (662) 452-5072

The provider's authorized official is Verlon J Green .
The authorized official title is Provider and has the following contact phone number (662) 207-1869.

The enumeration date for this NPI number is 11/17/2021 and was last updated on 11/17/2021.

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
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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