CONNIE O PRUITT NPI 1508012055

NPI Information

NPI: 1508012055
Provider Name: CONNIE O PRUITT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1415 COLLEGE DR
MERIDIAN, MS
ZIP 39307
Phone: (601) 483-4821
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Connie O Pruitt is a mental health counselor in Meridian, MS. Connie O Pruitt NPI is 1508012055. 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:

1415 COLLEGE DR
MERIDIAN, MS
ZIP 39307-345
Phone: (601) 483-4821

The enumeration date for this NPI number is 8/15/2008 and was last updated on 8/15/2008.

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
1	101YM0800X	Counselor	Mental Health	1618	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: 4/28/2024

NPI Synchronization or Removal

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