Individual provider · Type 1 NPI

Ernest Bodie, PCCSS

Counselor · Hattiesburg, MS

NPI number 1063236123 Active

Practice location

103 S 19th Ave
Hattiesburg, MS 39401-6171

Call (604) 544-4641 Map

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X4049 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063236123

Ernest Bodie, PCCSS's National Provider Identifier is 1063236123, issued on Nov 14, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Nov 14, 2024.