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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELOISE ANTOINETTE FAIRLEY
NPI 1497671150
Counselor - Addiction (Substance Use Disorder) in Gulfport, MS

Active since June 26, 2026
1325 FOXWOOD PL, GULFPORT, MS 39507(228) 207-1248 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eloise Antoinette Fairley NPPES

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

ELOISE ANTOINETTE FAIRLEY (NPI 1497671150) is an individual addiction (substance use disorder) provider in Gulfport, Mississippi and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1497671150
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELOISE ANTOINETTE FAIRLEY
Location Address1325 FOXWOOD PLGulfport, MS 39507-3872
Mailing Address1325 Foxwood PlGulfport, MS 39507-3872 · (228) 207-1248
Phone(228) 207-1248
Sole ProprietorYes
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1497671150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1325 FOXWOOD PL, Gulfport, MS 39507
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Eloise Fairley's NPI number?

The NPI number for Eloise Fairley is 1497671150. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Eloise Fairley located?

Eloise Fairley practices at 1325 Foxwood Pl, Gulfport, MS 39507. The listed phone number is (228) 207-1248.

What is Eloise Fairley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Eloise Fairley was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.