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MRS. EDNA MAE MATTOX MSW
NPI 1386947166
Counselor - Mental Health in Gautier, MS

Active since December 16, 2010
3407 SHAMROCK CT, GAUTIER, MS 39553(228) 497-0690(228) 497-1363 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Edna Mae Mattox Msw NPPES

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

MRS. EDNA MAE MATTOX MSW (NPI 1386947166) is an individual mental health provider in Gautier, Mississippi and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1386947166
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. EDNA MAE MATTOXCredential: MSW
Location Address3407 SHAMROCK CTGautier, MS 39553-6429
Mailing Address3407 Shamrock CtGautier, MS 39553-6429 · (228) 497-0690 · Fax (228) 497-1363
Phone(228) 497-0690
Fax(228) 497-1363
Sole ProprietorNo
Enumeration DateDecember 16, 2010
✔ NPI 1386947166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3407 SHAMROCK CT, Gautier, MS 39553
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Other Identifiers 1

Medicaid00018214MS

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.

MS. PEGGY LYNN FENDLEY M.ED.
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
SINGING RIVER SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MRS. JODI LEIGHANN CARLISLE MS COUNSELING PSYCHO
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
LANESHA JOSHUA BSW
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
DANA WEEKS
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
HILARY LOUISE PENNELL B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MS. ANGELA DENISE TOUCHET B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
VALENCIA HENDERSON
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690

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 Edna Mattox's NPI number?

The NPI number for Edna Mattox is 1386947166. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Where is Edna Mattox located?

Edna Mattox practices at 3407 Shamrock Ct, Gautier, MS 39553. The listed phone number is (228) 497-0690.

What is Edna Mattox'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 Edna Mattox was last updated on December 16, 2010. 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.