FPC INTENSIVE OUTPATIENT PROGRAM NPI 1306572235

NPI Information

NPI: 1306572235
Provider Name: FPC INTENSIVE OUTPATIENT PROGRAM
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
210 E MAIN ST STE 2C
TUPELO, MS
ZIP 38804
Phone: (662) 760-0052
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FPC INTENSIVE OUTPATIENT PROGRAM is an addiction (substance use disorder) counselor in Tupelo, MS. FPC INTENSIVE OUTPATIENT PROGRAM NPI is 1306572235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 E MAIN ST STE 2C
TUPELO, MS
ZIP 38804-017
Phone: (662) 760-0052
Fax: (662) 495-4080

The provider's authorized official is Madison Michelle Ashby .
The authorized official title is Administrative Assistant and has the following contact phone number (662) 871-6657.

The enumeration date for this NPI number is 7/25/2022 and was last updated on 7/25/2022.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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: 5/5/2024

NPI Synchronization or Removal

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