Healthcare Provider Details

I. General information

NPI: 1821185398
Provider Name (Legal Business Name): CHILDREN'S HEALTH CENTER OF COLUMBUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 N LEHMBERG RD
COLUMBUS MS
39702-5554
US

IV. Provider business mailing address

114 N LEHMBERG RD
COLUMBUS MS
39702-5554
US

V. Phone/Fax

Practice location:
  • Phone: 662-329-2955
  • Fax: 662-370-1236
Mailing address:
  • Phone: 662-329-2955
  • Fax: 662-370-1236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2080B0002X
TaxonomyPediatric Obesity Medicine Physician
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER SZAKEL
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 662-329-2955