Lakesha Cole, DPC

Individual provider Active NPI Mental Health Counselor · Clinton, MS

NPI 1457733016 · NPPES record last updated Jun 19, 2015

Key facts

NPI
1457733016
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1722 (MS)
Practice address
121B Crestwood CV
Clinton, MS 39056-3562
Phone
(769) 798-7615
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1722MSMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1722 MS Yes

Addresses

Primary practice location

121B Crestwood CV
Clinton, MS 39056-3562

Mailing address

PO Box 983
Clinton, MS 39060-0983
Phone (769) 798-7615

Other providers in Clinton, MS

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

Sources for this page

Verify at the official NPI Registry.