Individual provider · Type 1 NPI

Sartora D. Richardson-Wasp

Mental Health Counselor · Ellisville, MS

NPI number 1265319222 Active

Practice location

5192 Highway 11 N
Ellisville, MS 39437-5050

Call (601) 649-7921 Map

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Other practice locations

  • 103 S 19th Ave, Hattiesburg, MS 39401-6171 · (601) 544-4641

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

40 other providers at this address

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About NPI 1265319222

Sartora D. Richardson-Wasp's National Provider Identifier is 1265319222, issued on Aug 20, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellisville, MS. The record was last updated on Aug 20, 2025.