National Provider Identifier Database

CHAMBLISS COUNSELING SERVICES PLLC
Professional


Contact Information

CHAMBLISS COUNSELING SERVICES PLLC
2076 GRAVEL HILL RD
FAYETTE, MS39069-5057
Phone: 601-809-6968
Fax: 601-610-7147
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for CHAMBLISS COUNSELING SERVICES PLLC

NPI Number 1023903341
Legal business name
LBN
CHAMBLISS COUNSELING SERVICES PLLC
Authorized official SHARRON CHAMBLISS - (LPC, OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/09/2025
Last updated 06/09/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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