KANEESHA ROBY PCIDDT NPI 1053035501

NPI Information

  • NPI: 1053035501
  • Provider Name: KANEESHA ROBY, PCIDDT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 710 OAK ST
    LEAKESVILLE, MS
    ZIP 39451
  • Phone: (601) 394-2887

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NPI Details

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
1101YM0800XCounselorMental Health657MISSISSIPPIYes

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: 3/30/2025

NPI Synchronization or Removal

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