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AUDREY MCCULLUM CCSS
NPI 1720504004
Counselor in Ellisville, MS

Active since August 17, 2017
5192 HIGHWAY 11 N, ELLISVILLE, MS 39437(601) 649-7921 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Audrey Mccullum Ccss NPPES

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

AUDREY MCCULLUM CCSS (NPI 1720504004) is an individual counselor in Ellisville, Mississippi, licensed in Mississippi (1451) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1720504004
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAUDREY MCCULLUMCredential: CCSS
Location Address5192 HIGHWAY 11 NEllisville, MS 39437-5050
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679
Phone(601) 649-7921
Sole ProprietorNo
Enumeration DateAugust 17, 2017
✔ NPI 1720504004 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 · 1451
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.
5192 HIGHWAY 11 N, Ellisville, MS 39437
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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.

LEIGHANNE KITTRELL
Counselor
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
DANIELLE PORTER PCMHT
Counselor (Mental Health)
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 425-3439
DENICKA JONES
Registered Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
FAMILY HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 425-3033
ANITRA POSEY LPN
Licensed Practical Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
ADAM BRENNER
Registered Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
SHEILA VICKERS IDD WAIVER SERVICES
Day Training/Habilitation Specialist
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
NANCY KEYS
Counselor (Mental Health)
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 779-2487

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 Audrey Mccullum's NPI number?

The NPI number for Audrey Mccullum is 1720504004. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Audrey Mccullum located?

Audrey Mccullum practices at 5192 Highway 11 N, Ellisville, MS 39437. The listed phone number is (601) 649-7921.

What is Audrey Mccullum'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 Audrey Mccullum 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 9 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.