Cecilia T. Ballard, LPC
Individual provider Active NPI Professional Counselor · Ocean Springs, MS
NPI 1205313004 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1205313004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1651 (MS)
- Practice address
- 109 La Branche Ave
Ocean Springs, MS 39564-5309 - Phone
- (601) 951-3801
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1651 | MS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 1651 | MS | Yes |
Addresses
Primary practice location
109 La Branche Ave
Ocean Springs, MS 39564-5309
Mailing address
109 La Branche Ave
Ocean Springs, MS 39564-5309
Phone (601) 951-3801
Other providers in Ocean Springs, MS
- Marian Bailey
- Justina Baklarz
- Michael Wayne Bales
- Christine Tracey Balius
- Jena Ball
- Edward James Banas
- Susan Bankston
- Dipti Baral
- Cynthia L Barfield
- Marcia Cretin Barksdale
All providers in Ocean Springs, MS · Professional 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 Jul 24, 2018. 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.