Individual provider · Type 1 NPI

Tessa A. Lichtenhan, PCMHT, LMSW

Counselor · Gulfport, MS

NPI number 1679403687 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Fax (228) 575-3433

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XM11548 (MS)
Counselor Primary 101Y00000X7100 (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 1679403687

Tessa A. Lichtenhan, PCMHT, LMSW's National Provider Identifier is 1679403687, issued on May 21, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gulfport, MS. The record was last updated on May 21, 2026.