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Contact Information

RAVEN J BURKS, DPC,LPC,NCC,BCTMH
2550 MARSHALL RD
BILOXI, MS39531-4747
 Phone: 228-207-3549
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Counselor

101Y00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for RAVEN J BURKS · (Female)

NPI Number 1669103909
Status Active
Credentials DPC,LPC,NCC,BCTMH
Entity Individual
Enumeration date 06/17/2022
Last updated 02/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 2830
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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