MRS. JODI LEIGHANN CARLISLE MS COUNSELING PSYCHO - NPI 1003232786

Q: What is Jodi Carlisle's NPI number?

The NPI number for Jodi Carlisle is 1003232786. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Q: What is Jodi Carlisle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jodi Carlisle was last updated on March 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Jodi Leighann Carlisle Ms Counseling Psycho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JODI LEIGHANN CARLISLE MS COUNSELING PSYCHO (NPI 1003232786) is an individual mental health provider in Gautier, Mississippi and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1003232786

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. JODI LEIGHANN CARLISLECredential: MS COUNSELING PSYCHO

Location Address3407 SHAMROCK CTGautier, MS 39553-5337

Mailing Address3407 Shamrock CtGautier, MS 39553-5337

Phone(228) 497-0690

Fax(228) 497-1363

Sole ProprietorNo

Enumeration DateMarch 5, 2014

✔ NPI 1003232786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3407 SHAMROCK CT, Gautier, MS 39553

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Other Identifiers 1

Medicaid00018214MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PEGGY LYNN FENDLEY M.ED.

Counselor (Mental Health)