Healthcare Provider Details

I. General information

NPI: 1356180772
Provider Name (Legal Business Name): ONTRAK MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SUMMIT ST
WINONA MS
38967-2234
US

IV. Provider business mailing address

PO BOX 1004
WINONA MS
38967-1004
US

V. Phone/Fax

Practice location:
  • Phone: 662-417-8278
  • Fax:
Mailing address:
  • Phone: 662-417-8278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHERINE WARD HUGHES
Title or Position: FNP-BC, PMHNP-BC
Credential: DOCTOR OF NURSING PR
Phone: 662-417-8278