MS. THERESA FLANAGAN FORDHAM LPC LSW NPI 1730273335

NPI Information

NPI: 1730273335
Provider Name: MS. THERESA FLANAGAN FORDHAM, LPC LSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1636 POPPS FERRY RD STE 116
BILOXI, MS
ZIP 39532
Phone: (228) 596-9903
Get Directions

MS. Theresa Flanagan Fordham, LPC LSW is a professional counselor in Biloxi, MS. MS. Theresa Flanagan Fordham, LPC LSW NPI is 1730273335. 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:

1636 POPPS FERRY RD STE 116
BILOXI, MS
ZIP 39532
Phone: (228) 596-9903
Fax: (228) 396-5001

The NPI 1730273335 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/3/2006 and was last updated on 1/19/2017.

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	0934	MISSISSIPPI	Yes
2	104100000X	Social Worker		W4171	MISSISSIPPI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	822222189	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
2	472900000	OTHER	MISSISSIPPI	MAGELLAN HEALTH
3	800000189	MEDICARE UPIN	MISSISSIPPI
4	A931421	OTHER	MISSISSIPPI	VALUE OPTIONS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »