Active NPI
Selah Counseling Services, LLC
- Professional Counselor
- Olive Branch, MS
National Provider Identifier
1073408720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SELAH COUNSELING SERVICES, LLC
- Practice address
- 4854 N Terrace Stone Dr
Olive Branch, MS 38654-7817 - Phone
- (901) 205-9614
- NPI assigned
- Jun 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Nicole Clayton, LPC-S
- Title
- Owner
- Phone
- (901) 205-9614
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4854 N Terrace Stone Dr
Olive Branch, MS 38654-7817
Mailing address
7040 Windstone Blvd
FL 3, Ste #5
Olive Branch, MS 38654-7817
Phone (901) 205-9614
Other names 1
- Huber
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Olive Branch, MS
- NPI 1831388412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1073408720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7040 WINDSTONE BLVD",
"address_2": "FL 3, STE #5",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547817",
"telephone_number": "901-205-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4854 N TERRACE STONE DR",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547817",
"telephone_number": "901-205-9614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELAH COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-12",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-205-9614",
"authorized_official_credential": "LPC-S"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Huber",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Huber",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.