ERIC SUDDEATH MA, LPC
NPI 1700302007
Counselor in Oxford, MS

Active since August 17, 2017
304 ENTERPRISE DR, OXFORD, MS 38655(662) 371-1711 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eric Suddeath Ma, Lpc NPPES

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

ERIC SUDDEATH MA, LPC (NPI 1700302007) is an individual counselor in Oxford, Mississippi, licensed in Mississippi (2201) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1700302007
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameERIC SUDDEATHCredential: MA, LPC
Location Address304 ENTERPRISE DROxford, MS 38655-2762
Mailing Address4005 Davis DrOxford, MS 38655-4279 · (901) 607-3705
Sole ProprietorNo
Enumeration DateAugust 17, 2017
NPI 1700302007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MS · 2201
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
304 ENTERPRISE DR, Oxford, MS 38655

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
304 ENTERPRISE DR
OXFORD, MS 38655
Dietitian, Registered
304 ENTERPRISE DR
OXFORD, MS 38655
Counselor (Professional)
304 ENTERPRISE DR
OXFORD, MS 38655
Clinic/Center (Multi-Specialty)
304 ENTERPRISE DR
OXFORD, MS 38655
Clinic/Center
304 ENTERPRISE DR
OXFORD, MS 38655

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 Eric Suddeath's NPI number?

The NPI number for Eric Suddeath is 1700302007. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Eric Suddeath located?

Eric Suddeath practices at 304 Enterprise Dr, Oxford, MS 38655. The listed phone number is (662) 371-1711.

What is Eric Suddeath's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Eric Suddeath was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.