Healthcare Provider Details

I. General information

NPI: 1760250419
Provider Name (Legal Business Name): BARKSDALE MISSIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2023
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 18TH AVE N
COLUMBUS MS
39701-2237
US

IV. Provider business mailing address

617 18TH AVE N
COLUMBUS MS
39701-2237
US

V. Phone/Fax

Practice location:
  • Phone: 662-368-2008
  • Fax: 662-339-8206
Mailing address:
  • Phone: 662-368-2008
  • Fax: 662-339-8206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY BARKSDALE
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: EDD, LCSW
Phone: 662-368-2008