Mary Carol Damon

Key facts

NPI

1447060132

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

3214 (MS)

Practice address

582 Lakeland East Dr Ste C
Flowood, MS 39232-9025

Phone

(601) 797-1844

NPI assigned

Jan 13, 2025

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

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2025.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1447060132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MOUNT SALUS RD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565008",
            "telephone_number": "601-818-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 LAKELAND EAST DR STE C",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329025",
            "telephone_number": "601-797-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMON",
        "first_name": "MARY",
        "middle_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

• Edward Thomas Cullom III, M.D.
• Charisma T. Cummings, PCNP
• Curana Health of Mississippi LLC
• Custom Rehab Solutions, Inc.
• Manisha Pritam Dadlani, PHARMD
• Tasha Nicole Dampier, FNP
• Suman Kumar Das, MD
• Stephen Davidson, M.D.
• Davis Therapeutic Services LLC
• Chad Thomas Davis, FNP

All providers in Flowood, MS · Mental Health Counselor in Mississippi