Judy A Busby, BS
Individual provider Active NPI Mental Health Counselor · Gautier, MS
NPI 1306936026 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306936026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3407 Shamrock Court
Gautier, MS 39553 - Phone
- (228) 497-0690
- Fax
- (228) 497-1363
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3407 Shamrock Court
Gautier, MS 39553
Mailing address
3407 Shamrock Court
Gautier, MS 39553
Phone (228) 497-0690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018214 | Medicaid | MS |
Other providers in Gautier, MS
- Lydia J Burden
- Travis Allen Burdick
- Benjamin Edwin Burgess
- Rachel Nicole Burnett
- Burnham-McKinney Pharmacy No 3 LLC
- Leah Ann Buyatt
- Angela Lynette Calcote
- Amanda Ann Campbell
- Eric Caples
- Carecenter Pharmacy LLC
All providers in Gautier, 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 Jul 8, 2007. 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.