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MARY L BOZEMAN CMHT
NPI 1457589780
Counselor - Mental Health in Vicksburg, MS

Active since June 25, 2009
3444 WISCONSIN AVE, VICKSBURG, MS 39180(601) 638-0031 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary L Bozeman Cmht NPPES

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

MARY L BOZEMAN CMHT (NPI 1457589780) is an individual mental health provider in Vicksburg, Mississippi, licensed in Mississippi (CH5469) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1457589780
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY L BOZEMANCredential: CMHT
Location Address3444 WISCONSIN AVEVicksburg, MS 39180-5331
Mailing Address11220 Road 723Union, MS 39365-3456 · (662) 549-0140
Phone(601) 638-0031
Sole ProprietorNo
Enumeration DateJune 25, 2009
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1457589780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MS · CH5469
3444 WISCONSIN AVE, Vicksburg, MS 39180
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Atkins

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.

TIFFANY SMITH
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
WARREN YAZOO MENTAL HEALTH SERVICE
Clinic/Center (Mental Health (Including Community Mental Health Center))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
FELICIA WILSON PCMHT
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
HEATHER POTTS
Counselor (Addiction (Substance Use Disorder))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ROSALYN GLASCOE
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ANN NELSON LSW
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MILLICENT LEDBETTER
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MADALENE J BARKSDALE-MAYFIELD
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031

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 Mary Bozeman's NPI number?

The NPI number for Mary Bozeman is 1457589780. It was assigned to this individual provider in the NPPES registry on June 25, 2009. The provider is also known as Mary Atkins.

Where is Mary Bozeman located?

Mary Bozeman practices at 3444 Wisconsin Ave, Vicksburg, MS 39180. The listed phone number is (601) 638-0031.

What is Mary Bozeman'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 Mary Bozeman was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.