Tiffany Ryshone Davis

Individual provider Active NPI Mental Health Counselor · Hernando, MS

NPI 1831662626 · NPPES record last updated Nov 29, 2021

Key facts

NPI
1831662626
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2705 Highway 51 S
Hernando, MS 38632-2634
Phone
(662) 449-1971
NPI assigned
Jan 4, 2019
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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2705 Highway 51 S
Hernando, MS 38632-2634

Mailing address

2552 Niblik Pass Apt 202
Cordova, TN 38016-4176
Phone (901) 337-9587

Other providers in Hernando, MS

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

Sources for this page

Verify at the official NPI Registry.