MR. BENJAMIN DAVID DERRICK BIBLICAL COUNSELOR NPI 1356098438

NPI Information

NPI: 1356098438
Provider Name: MR. BENJAMIN DAVID DERRICK, BIBLICAL COUNSELOR
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
4500 INTERSTATE 55 NORTH FRONTAGE RD
STE 279
JACKSON, MS
ZIP 39211
Phone: (601) 405-7445
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MR. Benjamin David Derrick, BIBLICAL COUNSELOR is a pastoral counselor in Jackson, MS. MR. Benjamin David Derrick, BIBLICAL COUNSELOR NPI is 1356098438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 INTERSTATE 55 NORTH FRONTAGE RD
STE 279
JACKSON, MS
ZIP 39211
Phone: (601) 405-7445

The enumeration date for this NPI number is 3/8/2022 and was last updated on 3/8/2022.

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	101YP1600X	Counselor	Pastoral	10102004	MISSISSIPPI	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: 4/28/2024

NPI Synchronization or Removal

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