Individual provider · Type 1 NPI

Candice S. Calloway

Counselor · Gulfport, MS

NPI number 1083549505 Active

Practice location

1110 42nd Ave
Gulfport, MS 39501-2663

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6561 (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 1083549505

Candice S. Calloway's National Provider Identifier is 1083549505, issued on Jun 16, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gulfport, MS. The record was last updated on Jun 16, 2026.