Dessie Elizabeth Faulkner, LMFT
Individual provider Active NPI Marriage & Family Therapist · Gulfport, MS
NPI 1831294313 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831294313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- T0329 (MS)
- Practice address
- 12231 Ashley Dr
Suite C
Gulfport, MS 39503-2775 - Phone
- (228) 831-9400
- Fax
- (228) 831-9600
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0329 | MS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awakenings, PA | Past | Accepting new patients | |
| Brightside Medical, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0329 | MS | Yes |
Addresses
Primary practice location
12231 Ashley Dr
Suite C
Gulfport, MS 39503-2775
Mailing address
12231 Ashley Dr
Suite C
Gulfport, MS 39503-2775
Phone (228) 831-9400
Other providers in Gulfport, MS
- Fairy Wings Mobile Phlebotomy Service LLC
- Kali Falnes
- Family Clinic,PLLC
- Gail Farrar I
- Troy W Farris
- Elisabeth Brownlee Faust
- Melanie Lynne Fayard
- Iqra Fazal
- Thomas A Feduccia
- Elizabeth Feeney
All providers in Gulfport, MS · Marriage & Family Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.