Todd A Doyle, MS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gautier, MS
NPI 1932299666 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1932299666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 3407 Shamrock Court
Gautier, MS 39553 - Phone
- (228) 497-0690
- Fax
- (228) 497-1363
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
3407 Shamrock Court
Gautier, MS 39553
Mailing address
3407 Shamrock Court
Gautier, MS 39553
Phone (228) 497-0690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018214 | Medicaid | MS |
Other providers in Gautier, MS
- Robert Walter Donald
- Donna M Lewis LCSW PLLC
- Corey Richaude Dorsey
- Dean Shepard Doty
- Jaiden A Downs
- Dr. Samuel B. Mayfield
- Dreamtree Enterprises, L.L.C.
- Elizabeth Ann Duggan
- Bridget Christine Duke
- Kristian Channing Dumas
All providers in Gautier, MS · Addiction (Substance Use Disorder) 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 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.