MS. VIVIAN TARVIN SHIELDS LCSW NPI 1497891121

NPI Information

NPI: 1497891121
Provider Name: MS. VIVIAN TARVIN SHIELDS, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
263 FOREST VALLEY DR
JACKSON, MS
ZIP 39212
Phone: (601) 371-8937
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MS. Vivian Tarvin Shields, LCSW is a mental health counselor in Jackson, MS. MS. Vivian Tarvin Shields, LCSW NPI is 1497891121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

263 FOREST VALLEY DR
JACKSON, MS
ZIP 39212-800
Phone: (601) 371-8937

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	C0269	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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