Doctor Name: | TONYA N HERRINGTON |
NPI Number: | 1619109337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC |
License Number: | 212559 |
Business Practice Address: | 392 Leeville Rd Petal, MS - 394659493 |
Business Phone Number: | 6017051901 |
Business Fax Number: | |
Mailing Address: | 392 Leeville Rd, PETAL |
State: | MS |
Postal Code: | 394659493 |
Phone Number: | 6017051901 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2009 |
NPI Last Update Date: | 08/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 212559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |