Lashunda Everett, IDD WAIVER SERVICES
Individual provider Active NPI Day Training/Habilitation Specialist · Richton, MS
NPI 1346965928 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1346965928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 200 N Front St
Richton, MS 39476-2201 - Phone
- (601) 788-6343
- NPI assigned
- Oct 6, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
200 N Front St
Richton, MS 39476-2201
Mailing address
PO Box 18679
Hattiesburg, MS 39404-8679
Phone (601) 705-1901
Other providers in Richton, MS
- Community Development Inc
- Community Development Inc.
- Tylinda Cotton
- Nicholas Martin Darby
- Dr Michael S Zaleski
- Express Care Medical Clinic LLC
- Family Care Clinic
- Crystal Ferrell
- Forrest County General Hospital
- Forrest County General Hospital
All providers in Richton, MS · Day Training/Habilitation Specialist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. 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.