CHEVONNA MILLOY-BASS NPI 1285807875

NPI Information

  • NPI: 1285807875
  • Provider Name: CHEVONNA MILLOY-BASS
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 103 S 19TH AVE
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 544-4641

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NPI Details

Chevonna Milloy-bass is a counselor in Hattiesburg, MS with 26 years of experience. 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. Chevonna Milloy-bass NPI is 1285807875. 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:

103 S 19TH AVE
HATTIESBURG, MS
ZIP 39401-171
Phone: (601) 544-4641
Fax: (601) 584-4053

The NPI 1285807875 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/4/2008 and was last updated on 4/4/2008.

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
1101Y00000XCounselor1051MISSISSIPPIYes

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: 11/21/2025

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