Mardot Professional Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0928 Issued in MS

Legal business name

MARDOT PROFESSIONAL SERVICES

Practice address

2540 Flowood Dr
Suite a
Flowood, MS 39232-9362

Phone

(601) 594-7233

Fax

(601) 664-6561

NPI assigned

Oct 12, 2012

Last updated

Oct 12, 2012By 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

Mrs. Dorothea Garrett, LPCNPI 1003904343

Title

President

Phone

(601) 594-7233

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorothea A Garrett, LPC

  • Mental Health Counselor
  • Flowood, MS
  • NPI 1003904343
  Authorized official Same address or phone

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1316299464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 FLOWOOD DR",
            "address_2": "SUITE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329362",
            "telephone_number": "601-594-7233",
            "fax_number": "601-664-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 FLOWOOD DR",
            "address_2": "SUITE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329362",
            "telephone_number": "601-594-7233",
            "fax_number": "601-664-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARDOT PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-594-7233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Byron Maloney, FNP-C
• Dametra Mangum, FNP
• Manisha Pradhan, DMD, P.C.
• Dev Anand Manisundaram, M.D.
• Melissa Marie Manuel, NP
• Gloria Howard Martin, PH.D.
• Jill Martin, PHARM.D.
• Margaret Lane Martin, LPC
• Anuj Marya, MD
• Mason & Cage Corp

• Professional Counselor in Flowood, MS
• Providers in Flowood, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.