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KEONN NETTLES
NPI 1336448232
Counselor - Mental Health in Meridian, MS

Active since March 18, 2011
1415 COLLEGE DR, MERIDIAN, MS 39307(601) 483-4821 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keonn Nettles NPPES

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

KEONN NETTLES (NPI 1336448232) is an individual mental health provider in Meridian, Mississippi and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1336448232
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEONN NETTLES
Location Address1415 COLLEGE DRMeridian, MS 39307-5345
Mailing Address1415 College DrMeridian, MS 39307-5345 · (601) 483-4821
Phone(601) 483-4821
Sole ProprietorNo
Enumeration DateMarch 18, 2011
✔ NPI 1336448232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1415 COLLEGE DR, Meridian, MS 39307
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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.

DEBRA CASEY
Counselor (Mental Health)
1415 COLLEGE DR
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
JESSICA MCCOY LPC
Counselor (Mental Health)
1415 COLLEGE DR
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
ALYECE LOYD
Counselor (Mental Health)
1415 COLLEGE DR
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
KENNETH TYE
Counselor (Mental Health)
1415 COLLEGE DR
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
SHIRLEY TILLMAN
Counselor (Mental Health)
1415 COLLEGE DR
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
CATRICE TILLIS CMHT
Counselor (Mental Health)
1415 COLLEGE DR
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
DOROTHY GOWDY
Counselor (Mental Health)
1415 COLLEGE DR
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
JIM FOLLIS
Counselor (Mental Health)
1415 COLLEGE DR
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821

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 Keonn Nettles's NPI number?

The NPI number for Keonn Nettles is 1336448232. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Where is Keonn Nettles located?

Keonn Nettles practices at 1415 College Dr, Meridian, MS 39307. The listed phone number is (601) 483-4821.

What is Keonn Nettles'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 Keonn Nettles was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.