Lyinka Nicole Boston
Individual provider Active NPI Mental Health Counselor · Brandon, MS
NPI 1992472146 · NPPES record last updated Aug 25, 2021
Key facts
- NPI
- 1992472146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 613 Marquette Rd
Brandon, MS 39042-3038 - Phone
- (601) 824-1692
- NPI assigned
- Aug 25, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
613 Marquette Rd
Brandon, MS 39042-3038
Mailing address
PO Box 88
Brandon, MS 39043-0088
Phone (601) 824-1692
Other providers in Brandon, MS
- Terrell Lane Boler
- Sandra J Bonom
- Ritha G Bookert
- Melissa Bordelon Shields
- Merikelly Borgognoni
- Boudreaux Mental Health Services
- Lindsey Ferguson Bounds
- Jonathan Gaston Box
- Jasmonique Boyd
- Savanna Boyd
All providers in Brandon, 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 Aug 25, 2021. 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.