AUDREY MCCULLUM CCSS
NPI 1720504004
Counselor in Ellisville, MS
- Individual
- Female
- Counselor
About AUDREY MCCULLUM
This page provides the complete NPI Profile along with additional information for Audrey Mccullum, a provider established in Ellisville, Mississippi with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1720504004 assigned on August 2017. The practitioner's primary taxonomy code is 101Y00000X with license number 1451 (MS). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1720504004 Verify this NPI
- Provider Name
- AUDREY MCCULLUM CCSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5192 HIGHWAY 11 N ELLISVILLE, MS 39437
- Location Phone
- (601) 649-7921
- Mailing Address
- PO BOX 18679 HATTIESBURG, MS 39404
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2017
- Last Update Date
- 08-17-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1451
- License State
- MS
- Taxonomy Description
- 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.
Reviews for AUDREY MCCULLUM CCSS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ELLISVILLE, MS 39437
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720504004, enumerated as an "individual" on August 17, 2017.
The provider is located at 5192 HIGHWAY 11 N ELLISVILLE, MS 39437 and the phone number is (601) 649-7921.
Counselor with taxonomy code 101Y00000X.
