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MRS. STEPHANIE ANNE HATHORN NPI 1457799199


NPI Information

NPI: 1457799199
Provider Name: MRS. STEPHANIE ANNE HATHORN
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
5422 CLINTON BLVD
JACKSON, MS
ZIP 39209
Phone: (601) 724-5040
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MRS. Stephanie Anne Hathorn is a marriage family therapist in Jackson, MS. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MRS. Stephanie Anne Hathorn NPI is 1457799199. 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:

5422 CLINTON BLVD
JACKSON, MS
ZIP 39209-004
Phone: (601) 724-5040

The enumeration date for this NPI number is 6/4/2013 and was last updated on 3/24/2021.


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
1101YM0800XCounselorMental Health1947MISSISSIPPINo
2106H00000XMarriage & Family TherapistT0465AMISSISSIPPIYes
3106H00000XMarriage & Family TherapistT0465MISSISSIPPINo

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: 11/14/2023

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