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MADISON POLK
NPI 1225852304
Counselor - Mental Health in Hattiesburg, MS

Active since November 14, 2024
814 W PINE ST, HATTIESBURG, MS 39401(601) 781-1661 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Polk NPPES

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

MADISON POLK (NPI 1225852304) is an individual mental health provider in Hattiesburg, Mississippi and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1225852304
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON POLK
Location Address814 W PINE STHattiesburg, MS 39401-4259
Mailing Address5996 U S Highway 49Hattiesburg, MS 39401-7366 · (601) 913-2554
Phone(601) 781-1661
Sole ProprietorNo
Enumeration DateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1225852304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
814 W PINE ST, Hattiesburg, MS 39401
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Other Providers at the Same Location NPPES 5

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

BARBARA JEANNINE MCGILVERY
Counselor (Professional)
814 W PINE ST
HATTIESBURG, MS 39401
Forrest County (601) 781-1661
BRIOMD PHYSICIANS
Clinical Medical Laboratory
814 W PINE ST
HATTIESBURG, MS 39401
Forrest County (601) 909-6274
DAISY DENIS MCLAURIN
Counselor (Professional)
814 W PINE ST
HATTIESBURG, MS 39401
Forrest County (601) 781-1661
PRX LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
814 W PINE ST
HATTIESBURG, MS 39401
Forrest County (601) 909-6274
CHIEDZA KRISTYNE JINYA
Counselor (Mental Health)
814 W PINE ST
HATTIESBURG, MS 39401
Forrest County (601) 781-1661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Polk's NPI number?

The NPI number for Madison Polk is 1225852304. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Where is Madison Polk located?

Madison Polk practices at 814 W Pine St, Hattiesburg, MS 39401. The listed phone number is (601) 781-1661.

What is Madison Polk's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Polk was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.