Selena Estes-Walls, LPC-S
Individual provider Active NPI Mental Health Counselor · Philadelphia, MS
NPI 1699869693 · NPPES record last updated Dec 10, 2014
Key facts
- NPI
- 1699869693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1183 (MS)
- Practice address
- 1120 E Main
Suite 21
Philadelphia, MS 39350 - Phone
- (662) 803-7285
- Fax
- (601) 568-5016
- NPI assigned
- Oct 3, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1183 | MS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1183 | MS | Yes |
Addresses
Primary practice location
1120 E Main
Suite 21
Philadelphia, MS 39350
Mailing address
142 McCullough Rd
Louisville, MS 39339
Phone (662) 803-7285
Other providers in Philadelphia, MS
- East Central Mississippi Health Care, Inc.
- Allyson Eaves
- Stephanie Edwards
- Sharon Kay Eldridge Holland
- Empower OT LLC
- Fast Pace Mississippi, PLLC
- Finding Hope Counseling Services
- Madison Hailey Flake
- Amber Riley Fontan
- Julie Gaines Joiner
All providers in Philadelphia, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2014. 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.