TYIESHA BUXTON
NPI 1043945389
Counselor - Mental Health in Tupelo, MS
Active since July 20, 2022
About Tyiesha Buxton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYIESHA BUXTON (NPI 1043945389) is an individual mental health provider in Tupelo, Mississippi and active in the NPI registry since July 2022.
NPPES Registry Identity
NPI1043945389
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYIESHA BUXTON
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4549 · Fax (662) 680-6416
Phone(662) 640-4549
Fax(662) 680-6416
Sole ProprietorNo
Enumeration DateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1043945389 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2434 S EASON BLVD, Tupelo, MS 38804
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043945389, enumerated as an "individual" on July 20, 2022.
The provider is located at 2434 S EASON BLVD TUPELO, MS 38804 and the phone number is (662) 640-4549.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.