Fox & Vine, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FOX & VINE, PLLC

Practice address

1501 Adeline St Ste 2
Hattiesburg, MS 39401-6264

Phone

(601) 255-8238

NPI assigned

Nov 12, 2018

Last updated

Nov 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casey Keith, LMFT

Title

Owner

Phone

(601) 436-0159

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1245708890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 MAMIE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015041",
            "telephone_number": "601-436-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ADELINE ST STE 2",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016264",
            "telephone_number": "601-255-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX & VINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-436-0159",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Henry Creed Fox, M.D.
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• Mental Health Counselor in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.