Doctor Name: | MRS. LEONA DEMETHIA BISHOP |
NPI Number: | 1790984649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., NCC, LPC |
License Number: | 0594 |
Business Practice Address: | 4500 I-55 North Highland Village- Suite 220 Jackson, MS - 39157 |
Business Phone Number: | 6018322956 |
Business Fax Number: | |
Mailing Address: | 725 Hawthorn Green Dr, RIDGELAND |
State: | MS |
Postal Code: | 391571545 |
Phone Number: | 6018322956 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |