Organization Active NPI

Selah Counseling Services, LLC

  • Professional Counselor
  • Olive Branch, MS
National Provider Identifier
1073408720
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Nicole Clayton, LPC-SNPI 1831388412
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.