MR. MICHAEL PRESTON LPC
NPI 1336658756
Counselor - Professional in Madison, MS
- Individual
- Male
- Counselor
- Professional
About MICHAEL PRESTON
This page provides the complete NPI Profile along with additional information for Michael Preston, a provider established in Madison, Mississippi with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1336658756 assigned on September 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 2198 (MS). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1336658756 Verify this NPI
- Provider Name
- MR. MICHAEL PRESTON LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 940 EBENEZER BLVD MADISON, MS 39110
- Location Phone
- (321) 480-5000
- Mailing Address
- 416 DECELLE ST JACKSON, MS 39216
- Mailing Phone
- (321) 480-5000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-28-2017
- Last Update Date
- 09-28-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2198
- License State
- MS
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 001182 (NY) |
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336658756, enumerated as an "individual" on September 28, 2017.
The provider is located at 940 EBENEZER BLVD MADISON, MS 39110 and the phone number is (321) 480-5000.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
