WELLNESS & COUNSELING CENTER OF TUPELO LLC (NPI# 1710468863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710468863 |
| Entity Type | Organization |
| Organization Name | WELLNESS & COUNSELING CENTER OF TUPELO LLC |
| Practice Address |
499 Gloster Creek Vlg Ste F-5c Tupelo MS 38801-4600 |
| Mailing Address |
304 Enterprise Dr Oxford MS 38655-2762 |
| Practice Telephone | 8332929355 |
| Mailing Telephone | 6623711711 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | DR. PHIL BAQUIE (OWNER) |
| Authorized Official Telephone | 1833292935 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
499 GLOSTER CREEK VLG STE F-5C |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173516 | Jessica Roberts, Pllc | Counselor | 354 N Broadway St, Tupelo, MS 38804-3926 | 2020-04-18 |
| 1639726474 | Latesha Short | Counselor | 2434 S Eason Blvd # 1, Tupelo, MS 38804-6942 | 2019-08-26 |
| 1730661331 | Fair Park Counseling Pllc | Counselor | 210 E Main St Ste 2c, Tupelo, MS 38804-4017 | 2018-08-30 |
| 1316423205 | Corey Keith | Counselor | 6134 Park Heights Cir, Tupelo, MS 38801-6023 | 2018-07-14 |
| 1972037554 | Janet A Hardy | Counselor | 1202 Harrison St, Tupelo, MS 38801-5646 | 2017-04-20 |
| 1598126401 | Norris Lipsey | Counselor | 246 S Veterans Blvd, Tupelo, MS 38804-5022 | 2016-03-19 |
| 1356706535 | Donna Gail Thompson | Counselor | 699 Nation Hills Dr, Tupelo, MS 38804-6057 | 2015-12-15 |
| 1205215126 | Kana Crumby | Counselor | 499 S Gloster St, Tupelo, MS 38801-5539 | 2015-05-26 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| 1104190834 | Brandon Scott Lewis | Counselor | 1502 S Gloster St, Tupelo, MS 38801-6510 | 2012-02-27 |
| Find all providers in TUPELO | ||||
Please comment or provide details below to improve the information on WELLNESS & COUNSELING CENTER OF TUPELO LLC.
| 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.