KANEESHA ROBY PCIDDT NPI 1053035501

NPI Information

NPI: 1053035501
Provider Name: KANEESHA ROBY, PCIDDT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
710 OAK ST
LEAKESVILLE, MS
ZIP 39451
Phone: (601) 394-2887
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Kaneesha Roby, PCIDDT is a mental health counselor in Leakesville, MS. Kaneesha Roby, PCIDDT NPI is 1053035501. 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:

710 OAK ST
LEAKESVILLE, MS
ZIP 39451-127
Phone: (601) 394-2887

The enumeration date for this NPI number is 9/28/2022 and was last updated on 9/28/2022.

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	101YM0800X	Counselor	Mental Health	657	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: 5/5/2024

NPI Synchronization or Removal

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