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THAEDEUS HOLSTON
NPI 1386220697
Counselor - Mental Health in Brandon, MS

Active since March 18, 2021
613 MARQUETTE RD, BRANDON, MS 39042(601) 824-0342 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Thaedeus Holston NPPES

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

THAEDEUS HOLSTON (NPI 1386220697) is an individual mental health provider in Brandon, Mississippi and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1386220697
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHAEDEUS HOLSTON
Location Address613 MARQUETTE RDBrandon, MS 39042-3038
Mailing Address613 Marquette RdBrandon, MS 39042-3038
Phone(601) 824-0342
Sole ProprietorNo
Enumeration DateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
✔ NPI 1386220697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
613 MARQUETTE RD, Brandon, MS 39042
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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.

BRANDY NICOLE NEWSOME BYRD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342
EMILY LEE
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
SKY D DAVENPORT
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
TOMEKA LAFAWN BETHEA
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
BELINDA DAVIS
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
MELLANI MARITZA WALLACE
Counselor
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 591-5553
TALISA M COX
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
TAMEIKA M SMITH THERAPIST
Occupational Therapist (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342

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 Thaedeus Holston's NPI number?

The NPI number for Thaedeus Holston is 1386220697. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Thaedeus Holston located?

Thaedeus Holston practices at 613 Marquette Rd, Brandon, MS 39042. The listed phone number is (601) 824-0342.

What is Thaedeus Holston'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 Thaedeus Holston was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.