Laquita Eloise Bedford
Individual provider Active NPI Counselor · Starkville, MS
NPI 1063127017 · NPPES record last updated Jan 13, 2023
Key facts
- NPI
- 1063127017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 100 Starr Ave Ste a
Starkville, MS 39759-4032 - Phone
- (662) 268-8059
- NPI assigned
- Jan 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Behavioral Health Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
100 Starr Ave Ste a
Starkville, MS 39759-4032
Mailing address
860 E River PL Ste 100
Jackson, MS 39202-3442
Phone (769) 251-5550
Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.