Andleeb Atique, MS, LPC

Individual provider Active NPI Professional Counselor · Madison, MS

NPI 1316625486 · NPPES record last updated Jul 9, 2025

Key facts

NPI
1316625486
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
96296 (TX)
Practice address
108 Novara CV
Madison, MS 39110-6849
Phone
(601) 750-9089
NPI assigned
Jul 10, 2023
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
Master of Science

State licenses

LicenseStateTypeSpecialty
2997MSMDProfessional Counselor
96296TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2997 MS
Professional Counselor 101YP2500X 96296 TX Yes

Addresses

Primary practice location

108 Novara CV
Madison, MS 39110-6849

Mailing address

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Other practice location 1

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Other providers in Madison, MS

All providers in Madison, MS · Professional Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.