MICHELLE AVARY FORD LPC
NPI 1801305339
Counselor - Professional in Long Beach, MS
- Individual
- Female
- Counselor
- Professional
About MICHELLE FORD
This page provides the complete NPI Profile along with additional information for Michelle Ford, a provider established in Long Beach, Mississippi with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1801305339 assigned on September 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 1266 (MS). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1801305339 Verify this NPI
- Provider Name
- MICHELLE AVARY FORD LPC
- Other Name
- SANDRA MICHELLE AVARY-FORD LPC
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 DEARMAN AVE LONG BEACH, MS 39560
- Location Phone
- (228) 547-2713
- Mailing Address
- 111 DEARMAN AVE LONG BEACH, MS 39560
- Mailing Phone
- (228) 547-2713
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-27-2017
- Last Update Date
- 07-21-2022
- 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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1266
- License State
- MS
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801305339, enumerated as an "individual" on September 27, 2017.
The provider is located at 111 DEARMAN AVE LONG BEACH, MS 39560 and the phone number is (228) 547-2713.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
