SHIRA YVETTE PETERSON LPC NPI 1619274370

NPI Information

NPI: 1619274370
Provider Name: SHIRA YVETTE PETERSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1507 HARDY ST
SUITE 104
HATTIESBURG, MS
ZIP 39401
Phone: (601) 336-6847
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Shira Yvette Peterson, LPC is a professional counselor in Hattiesburg, MS. Shira Yvette Peterson, LPC NPI is 1619274370. 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:

1507 HARDY ST
SUITE 104
HATTIESBURG, MS
ZIP 39401-978
Phone: (601) 336-6847
Fax: (601) 510-9403

The enumeration date for this NPI number is 2/16/2011 and was last updated on 10/18/2012.

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	101YP2500X	Counselor	Professional	1542	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: 11/14/2023

NPI Synchronization or Removal

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