| Doctor Name: | TESSICA C. ECKFORD |
| NPI Number: | 1023391042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | M7914 |
| Business Practice Address: | 2725 Highway 51 S Hernando, MS - 386322634 |
| Business Phone Number: | 6624491808 |
| Business Fax Number: | 6624491811 |
| Mailing Address: | Po Box 839, CORINTH |
| State: | MS |
| Postal Code: | 388350839 |
| Phone Number: | 6622869883 |
| Fax Number: | 6622869836 |
| NPI Enumeration Date: | 09/26/2011 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | M7914 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |