DELISSA L CASTLEBERRY (NPI# 1437773546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437773546 |
| Entity Type | Individual |
| Full Name | DELISSA L CASTLEBERRY |
| Credential | LPC, CADCII |
| Practice Address |
7112 Home of Grace Dr Gautier MS 39553-2728 |
| Practice Telephone | 2284971312 |
| Mailing Telephone | 2284971312 |
| Mailing Fax Number | 2284977340 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 1412 | MS | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MS | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1412 | MS | Behavioral Health & Social Service Providers |
| N | 251B00000X | Case Management | MS | Agencies |
| Street Address |
7112 HOME OF GRACE DR |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922537604 | Rachel Kimberleigh Nilsen | Counselor | 3001 Ladnier Rd, Gautier, MS 39553-6624 | 2017-06-07 |
| 1053813188 | Michelle Davis Crevier | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2018-03-05 |
| 1730564097 | Chrystal Mitchell | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2015-07-28 |
| 1215216023 | Marquesha Lachelle Chaney | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-6429 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750478 | Latibbie Cavett | Counselor | 1311 Rosemont Dr, Clinton, MS 39056-3954 | 2020-11-05 |
| 1306445309 | Teresa Nicole Worthy | Counselor | 6690 Rose Ln # B, Marion, MS 39342-9201 | 2020-10-21 |
| 1841899978 | Kbccms, LLC | Counselor | 1501 Jackson Ave W Ste 113, Oxford, MS 38655-2566 | 2020-10-20 |
| 1053910281 | Julie Magee Powell | Counselor | 121 Sweetgum Rd N, Brandon, MS 39047-6235 | 2020-10-19 |
| 1245838143 | Liria Peshkepia | Counselor | 1105 W Jackson St, Tupelo, MS 38804-2515 | 2020-10-13 |
| 1346847837 | Connection Counseling | Counselor | 336 N Green St, Tupelo, MS 38804-3828 | 2020-10-07 |
| 1609480086 | Robin Melissa Aucoin | Counselor | 1745 County Road 344, Quitman, MS 39355-9454 | 2020-09-03 |
| 1619589538 | Pamela Peoples | Counselor | 1888 Main St Ste C-189, Madison, MS 39110-6337 | 2020-08-21 |
| 1194334656 | Shania Barr | Counselor | 33 Bedford Forrest Ln, Hattiesburg, MS 39401-9186 | 2020-07-29 |
| 1609485515 | Charleen Brown Sproles | Counselor | 434 Katherine Dr Ste B, Flowood, MS 39232-8811 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.