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MS. THERESA FLANAGAN FORDHAM LPC LSW
NPI 1730273335
Counselor - Professional in Biloxi, MS

Active since October 03, 2006
1636 POPPS FERRY RD STE 116, BILOXI, MS 39532(228) 596-9903(228) 396-5001 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Theresa Flanagan Fordham Lpc Lsw NPPES

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

MS. THERESA FLANAGAN FORDHAM LPC LSW (NPI 1730273335) is an individual professional provider in Biloxi, Mississippi, licensed in Mississippi (0934) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730273335
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. THERESA FLANAGAN FORDHAMCredential: LPC LSW
Location Address1636 POPPS FERRY RD STE 116Biloxi, MS 39532
Mailing AddressPo Box 7884Gulfport, MS 39506 · (228) 596-9903 · Fax (228) 396-5001
Phone(228) 596-9903
Fax(228) 396-5001
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 19, 2017
✔ NPI 1730273335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 0934
Also ListedSocial WorkerTaxonomy 104100000X · License W4171 (MS)
1636 POPPS FERRY RD STE 116, Biloxi, MS 39532
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Other Names 1

Former Name (1)Teresa Flanagan Staley Lpc Lsw Mac

Other Identifiers 4

Medicare ID-Type Unspecified822222189MS
Other472900000MS · Magellan Health
Medicare UPIN800000189MS
OtherA931421MS · Value Options

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 Theresa Fordham's NPI number?

The NPI number for Theresa Fordham is 1730273335. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Teresa Flanagan Staley Lpc Lsw Mac.

Where is Theresa Fordham located?

Theresa Fordham practices at 1636 Popps Ferry Rd Ste 116, Biloxi, MS 39532. The listed phone number is (228) 596-9903.

What is Theresa Fordham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Theresa Fordham was last updated on January 19, 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.