Trystle Bridges

Individual provider Active NPI Mental Health Counselor · McComb, MS

NPI 1003226366 · NPPES record last updated May 7, 2014

Key facts

NPI
1003226366
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1701 White St
McComb, MS 39648-2711
Phone
(601) 249-4217
Fax
(601) 249-4234
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1701 White St
McComb, MS 39648-2711

Mailing address

1701 White St
McComb, MS 39648-2711
Phone (601) 249-4217

Other providers in McComb, MS

All providers in McComb, MS · Mental Health Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.