Mrs. Jodi Leighann Carlisle
Mental Health Counselor
3407 Shamrock Ct
Gautier
, Mississippi 39553-5337
Mrs. Jodi Leighann Carlisle
Mental Health Counselor
3407 Shamrock Ct
Gautier
, Mississippi 39553-5337
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Mrs. Jodi Leighann Carlisle
- 3407 Shamrock Ct
- Gautier, MS
- Zip : 39553-5337
- Phone :
Second Address
- Mrs. Jodi Leighann Carlisle
- 3407 Shamrock Ct
- Gautier, MS
- Zip : 39553-5337
- Fax : (228) 497-1363
- Phone : (228) 497-0690
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Is Mrs. Jodi Leighann Carlisle a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003232786 |
|---|---|
| Provider Name | Mrs. Jodi Leighann Carlisle |
| First Address | Gautier, MS 39553-5337 |
| Second Address | Gautier, MS 39553-5337 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2014 |
| Last Update Date | 05/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00018214 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.