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KIM SISTRUNK LCMHT
NPI 1780194092
Counselor - Mental Health in Tupelo, MS

Active since October 02, 2017
2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595(662) 680-6416 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Sistrunk Lcmht NPPES

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

KIM SISTRUNK LCMHT (NPI 1780194092) is an individual mental health provider in Tupelo, Mississippi and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1780194092
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIM SISTRUNKCredential: LCMHT
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942
Phone(662) 640-4595
Fax(662) 680-6416
Sole ProprietorNo
Enumeration DateOctober 2, 2017
✔ NPI 1780194092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2434 S EASON BLVD, Tupelo, MS 38804
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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.

TIFFANY BROWN
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
ALYSSA BRIDGES
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
CENTRELL GARDNER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
KAYLA HARRIS
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 810-4125
KEYAIRA STANDIFER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
MS. CAROLEE ELIZABETH SMITH MSSW
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 844-1717
JAN HARRIS
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
JOZIE GUNTER
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595

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 Kim Sistrunk's NPI number?

The NPI number for Kim Sistrunk is 1780194092. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Kim Sistrunk located?

Kim Sistrunk practices at 2434 S Eason Blvd, Tupelo, MS 38804. The listed phone number is (662) 640-4595.

What is Kim Sistrunk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kim Sistrunk was last updated on October 2, 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.