Milisia Arnise Bruce
Individual provider Active NPI Mental Health Counselor · Vicksburg, MS
NPI 1154888261 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1154888261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3444 Wisconsin Ave
Vicksburg, MS 39180-5331 - Phone
- (601) 638-0031
- NPI assigned
- Feb 25, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6191 | MS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce Professional Counseling Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6191 | MS | |
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Mailing address
55 Sergeant Prentiss Dr Ste 102
Natchez, MS 39120-4791
Phone (601) 304-5567
Other providers in Vicksburg, MS
- James Brown
- Kristen Brown
- Megan Laird Brown
- Minnie Brown
- Sandra Thomas Brown
- Annette Bryant
- Elizabeth Grace Bufkin
- Kori Screws Bufkin
- Tenecia Bullock
- Jeronica Bunch
All providers in Vicksburg, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 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.