WATERSHED COUNSELING ASSOCIATES PLLC NPI 1407284235

NPI Information

NPI: 1407284235
Provider Name: WATERSHED COUNSELING ASSOCIATES, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1635 LELIA DR STE 203
JACKSON, MS
ZIP 39216
Phone: (601) 362-7020
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WATERSHED COUNSELING ASSOCIATES, PLLC is a professional counselor in Jackson, MS. WATERSHED COUNSELING ASSOCIATES, PLLC NPI is 1407284235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1635 LELIA DR STE 203
JACKSON, MS
ZIP 39216-874
Phone: (601) 362-7020

The provider's authorized official is Russell Schulte .
The authorized official title is Co Owner, Lpc and has the following contact phone number (601) 842-4385.

The enumeration date for this NPI number is 10/14/2013 and was last updated on 10/14/2013.

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	101YP2500X	Counselor	Professional	1207	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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