Individual provider · Type 1 NPI
Blythe Anne Hamburg, P-LPC
Mental Health Counselor · Hollandale, MS
NPI number
1093540148
Active
Practice location
401 Bailey Dr
Hollandale, MS 38748-3206
Mailing address
130 Key Rd
Greenville, MS 38701-9546
Other practice locations
- 130 Key Rd, Greenville, MS 38701-9546 · (662) 881-0281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | P-1098 (MS) |
| Professional Counselor | 101YP2500X | P-1098 (MS) |
| Mental Health Counselor Primary | 101YM0800X | P-1098 (MS) |
Mental Health Counselor: Definition to come...
2 other providers at this address
About NPI 1093540148
Blythe Anne Hamburg, P-LPC's National Provider Identifier is 1093540148, issued on Sep 6, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hollandale, MS. The record was last updated on Sep 8, 2024.