Tasha Brown, LIFESTYLE COACH
Individual provider Active NPI Health & Wellness Coach · Canton, MS
NPI 1992578199 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1992578199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 1668 W Peace St
N/a
Canton, MS 39046 - Phone
- (601) 859-5213
- Fax
- (601) 859-8771
- NPI assigned
- Oct 31, 2023
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | MS | Yes |
Addresses
Primary practice location
1668 W Peace St
N/a
Canton, MS 39046
Mailing address
1668 W Peace St
N/a
Canton, MS 39046
Phone (601) 859-5213
Other providers in Canton, MS
- Rashada Keadria Boler
- Jennifer Boose
- Cassandra Brown
- Jessica Nicole Brown
- Jetuwan M Brown
- Suzanne M Bryant
- Trent Lydell Butler
- Buttah Baby LLC
- Victoria Lynn Campbell
- Campbellrdnutrition
All providers in Canton, MS · Health & Wellness Coach in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. 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.