MARY WYZARD (NPI# 1477952489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477952489 |
| Entity Type | Individual |
| Full Name | MARY WYZARD |
| Credential | LMFT |
| Practice Address |
805 Highway 589 Purvis MS 39475-4194 |
| Mailing Address |
Po Box 18679 Hattiesburg MS 39404-8679 |
| Practice Telephone | 6017946543 |
| Practice Fax Number | 6017942455 |
| Mailing Telephone | 6017051901 |
| Mailing Fax Number | 6017051952 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0468 | MS | Behavioral Health & Social Service Providers |
| Street Address |
805 HIGHWAY 589 |
| City | PURVIS |
| State | MS |
| Zip Code | 39475-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932239050 | Alexis Tarbin | Social Worker | 805 Highway 589, Purvis, MS 39475 | 2007-03-07 |
| 1619479078 | Ashley Gray | Social Worker | 805 Highway 589, Purvis, MS 39475-4194 | 2018-03-01 |
| 1588179733 | Elizabeth Jackson | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1871008011 | Anishia Wiley | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1467967620 | Rebekah Rayburn | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1588180350 | Kimberly J Smith | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-08-14 |
| 1922521962 | Soraida Herring | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-07-21 |
| 1972902047 | Brandy Denson | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2014-08-14 |
| 1760881825 | Allison Scott | Social Worker | 805 Highway 589, Purvis, MS 39475-4194 | 2014-08-14 |
| 1174809891 | Stacy White | Marriage & Family Therapist | 805 Highway 589, Purvis, MS 39475-4194 | 2011-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366986556 | Terrace Hill Dental Center Pllc | Dentist | 271 Hwy 589, Purvis, MS 39475 | 2016-12-07 |
| 1831469683 | Freds Stores of Tennessee Inc | Pharmacy | 509 Hwy 589, Purvis, MS 39475 | 2012-01-11 |
| 1154600120 | Shannon Love | Counselor | 89 Brewer Rd, Purvis, MS 39475 | 2011-08-09 |
| 1881992055 | Pearl River County Hospital | Family Medicine | 104 Highway 589, Purvis, MS 39475 | 2011-03-11 |
| 1740512102 | Burge Managment & Marketing, LLC | Durable Medical Equipment & Medical Supplies | 177 Shelby Speights, Suite C, Purvis, MS 39475 | 2010-02-09 |
| 1104151265 | Humphreys Dental, LLC | Dentist | 444 Shelby Speights Drive, Purvis, MS 39475 | 2009-10-07 |
| 1013149384 | Michelle E Howard | Marriage & Family Therapist | 143 N Windridge Lane #b, Purvis, MS 39475 | 2009-08-19 |
| 1811162324 | Lamar County School District | Registered Nurse | 213 School Street, Purvis, MS 39475 | 2008-04-25 |
| 1023283645 | Lamar County School District | Registered Nurse | 5402 U S Highway 11, Purvis, MS 39475 | 2008-04-24 |
| 1457568503 | Richard D. Vincent | Dentist | 444 Shelby Speights Dr., Purvis, MS 39475 | 2007-05-17 |
| Find all providers in zip 39475 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013149384 | Michelle E Howard | Marriage & Family Therapist | 143 N Windridge Lane #b, Purvis, MS 39475 | 2009-08-19 |
| 1174809891 | Stacy White | Marriage & Family Therapist | 805 Highway 589, Purvis, MS 39475-4194 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593470 | Britney Mangum Huber | Marriage & Family Therapist | 607 Corinne St Ste A2, Hattiesburg, MS 39401-3827 | 2020-09-18 |
| 1013526284 | Therapy Today, LLC | Marriage & Family Therapist | 1045 Church Rd E Ste 2b, Southaven, MS 38671-9702 | 2020-07-23 |
| 1942823422 | Terry Matthews | Marriage & Family Therapist | 1045 Church Rd E, Southaven, MS 38671-9702 | 2020-05-19 |
| 1144843772 | Sonya Sebren Summerlin | Marriage & Family Therapist | 17 Peachtree Ln, Madison, MS 39110-9217 | 2020-05-18 |
| 1306488705 | Vinalrae Brame | Marriage & Family Therapist | 607 Corinne St Ste A2office, Hattiesburg, MS 39401-3831 | 2019-10-17 |
| 1811559909 | Graystone Group LLC | Marriage & Family Therapist | 2218 18th St Ste B, Gulfport, MS 39501-2911 | 2019-06-28 |
| 1275009565 | Bahar Dunn | Marriage & Family Therapist | 292 Commerce Park Dr Ste C, Ridgeland, MS 39157-2239 | 2018-10-15 |
| 1871086611 | Adrienne L. Hearn | Marriage & Family Therapist | 580 S Pear Orchard Rd Apt 623, Ridgeland, MS 39157-4212 | 2018-06-06 |
| 1740792209 | Paula Hollingsworth | Marriage & Family Therapist | 5 Orleans Dr Ste 2, Hattiesburg, MS 39402-8675 | 2017-10-24 |
| 1043734080 | Naomi Fortune Muffuletto | Marriage & Family Therapist | 1151 North State Street, Suite 212, Jackson, MS 39202-2467 | 2017-08-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.