SOPHIA BADON (NPI# 1891219069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891219069 |
| Entity Type | Individual |
| Full Name | SOPHIA BADON |
| Credential | CCSS |
| Practice Address |
110 Patton Ave Hattiesburg MS 39401-6155 |
| Mailing Address |
Po Box 18679 Hattiesburg MS 39404-8679 |
| Practice Telephone | 6015821111 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1949 | MS | Behavioral Health & Social Service Providers |
| Street Address |
110 PATTON AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649466954 | Nazmul Talukdar | Psychiatry & Neurology | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2007-09-20 |
| 1811402043 | Amanda Gregory | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1164937314 | Tamecia Myers | Social Worker | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1992210140 | Lisa Warner | Marriage & Family Therapist | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1811413685 | Lakeshia Triplett | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-08-14 |
| 1578087748 | Kertrina Beverly | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-31 |
| 1740704923 | Franciel Brown | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-31 |
| 1245753060 | William Taylor | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-24 |
| 1871016600 | Kyle Birdwell | Social Worker | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-24 |
| 1740703578 | Torrance Wade | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215572102 | Solid Ground Recovery LLC | Counselor | 126 Westover Dr, Hattiesburg, MS 39402-1329 | 2019-11-14 |
| 1720635964 | Lynjaven J Gray | Counselor | 11 Woodstone Plz, Hattiesburg, MS 39402-8342 | 2019-08-22 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1851806095 | Ashley Young | Counselor | 201 Blue Gable Rd Apt 1103, Hattiesburg, MS 39401-3087 | 2017-12-11 |
| 1265955801 | Anisha Pizzferro | Counselor | 11 Woodstone Plz Ste D, Hattiesburg, MS 39402-8342 | 2017-07-25 |
| 1902329642 | Bridget Nobles | Counselor | 2201 S 28th Avenue Ext, Hattiesburg, MS 39402-3416 | 2017-07-25 |
| 1053834002 | Byron Dukes | Counselor | 41 Bonhomie Rd, Hattiesburg, MS 39401-8648 | 2017-07-21 |
| 1760882849 | Jonathan Lawless | Counselor | 109 Sandra Ln, Hattiesburg, MS 39402-1818 | 2014-08-26 |
| 1649511502 | Hope Alysia Griffith-jones | Counselor | 1707 Lincoln Rd, Suite B, Hattiesburg, MS 39402-3226 | 2013-03-01 |
| 1508151135 | Shannon Michelle Rainey | Counselor | 607 Corinne St # A-2, Hattiesburg, MS 39401-3831 | 2011-06-11 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.