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MR. DAVID S. TADLOCK M.A. EDUCATION; B.S.
NPI 1477831675
Counselor - Mental Health in Gautier, MS

Active since July 22, 2011
3407 SHAMROCK CT, GAUTIER, MS 39553(228) 497-0690(228) 497-1363 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David S. Tadlock M.a. Education; B.s. NPPES

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

MR. DAVID S. TADLOCK M.A. EDUCATION; B.S. (NPI 1477831675) is an individual mental health provider in Gautier, Mississippi and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1477831675
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DAVID S. TADLOCKCredential: M.A. EDUCATION; B.S.
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 DateJuly 22, 2011
✔ NPI 1477831675 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 David Tadlock's NPI number?

The NPI number for David Tadlock is 1477831675. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is David Tadlock located?

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

What is David Tadlock'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 David Tadlock was last updated on July 22, 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.