Provider Type Icon

MT. OLIVE BAPTIST CHURCH NPI 1992004212


NPI Information

NPI: 1992004212
Provider Name: MT. OLIVE BAPTIST CHURCH
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1313 COUNTRY CLUB ROAD
HATTIESBURG, MS
ZIP 39401
Phone: (601) 582-3475
Get Directions

MT. OLIVE BAPTIST CHURCH is a counselor in Hattiesburg, MS. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MT. OLIVE BAPTIST CHURCH NPI is 1992004212. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1313 COUNTRY CLUB ROAD
HATTIESBURG, MS
ZIP 39401
Phone: (601) 582-3475
Fax: (601) 582-0149

The provider's authorized official is Arthur Lee Siggers .
The authorized official title is Pastor and has the following contact phone number (601) 582-3475.

The enumeration date for this NPI number is 3/25/2011 and was last updated on 3/25/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor205814MISSISSIPPIYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.