Individual provider · Type 1 NPI
Demyia Graham, NCC
Mental Health Counselor · Tallulah, LA
NPI number
1063303352
Active
Practice location
805 N Beech St # 2
Tallulah, LA 71282-3809
Fax (318) 493-5148
Mailing address
308 Mansion St
Port Gibson, MS 39150-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1063303352
Demyia Graham, NCC's National Provider Identifier is 1063303352, issued on Jul 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tallulah, LA. The record was last updated on Jul 14, 2025.