Laurel Elizabeth Kett, MS, LMFT

Individual provider Active NPI Marriage & Family Therapist · Ridgeland, MS

NPI 1992308183 · NPPES record last updated Oct 3, 2024

Key facts

NPI
1992308183
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
TO484 (MS)
Practice address
6A Professional Pkwy
Ridgeland, MS 39157-4113
Phone
(601) 466-6804
NPI assigned
Nov 19, 2020
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TO484MSMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X TO484 MS Yes

Addresses

Primary practice location

6A Professional Pkwy
Ridgeland, MS 39157-4113

Mailing address

201 Huntview Dr
Brandon, MS 39042-2035
Phone (601) 466-6804

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Marriage & Family Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.