DR. CANDACE L. GILLESPIE (NPI# 1710598586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710598586 |
| Entity Type | Individual |
| Full Name | DR. CANDACE L. GILLESPIE |
| Credential | ED. D., NCC, LPC |
| Practice Address |
829 W South St Mound Bayou MS 38762-9797 |
| Practice Telephone | 6625882481 |
| Mailing Telephone | 6625882481 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6979 | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1074 | MS | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
173503 | MS | Behavioral Health & Social Service Providers |
| Street Address |
829 W SOUTH ST |
| City | MOUND BAYOU |
| State | MS |
| Zip Code | 38762-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137873 | Beverly C Johnson | Hospice Care, Community Based | 116 S Edward Avenue, Mound Bayou, MS 38762 | 2013-07-19 |
| 1629310487 | Community Adult Day Care | Clinic/Center | 114 S Edwards Avenue, Mound Bayou, MS 38762 | 2013-03-20 |
| 1235482233 | Melvern Scott Jr. | Social Worker | 109 Rayner Rd, Mound Bayou, MS 38762 | 2012-10-16 |
| 1063692770 | Allison Hailman Doyle | Family Medicine | 702 Mlk St, Mound Bayou, MS 38762 | 2007-11-09 |
| 1578785820 | Mound Bayou Public Schools | Registered Nurse | 202 Mlk, Mound Bayou, MS 38762 | 2007-05-03 |
| 1700923836 | Delta Health Center | Clinic/Center | 702 Martin Luther King Rd, Mound Bayou, MS 38762 | 2007-01-30 |
| 1649363656 | Ki M Chang | Internal Medicine | 7165 Getwell Road, Bldg F, Southaven, MS 38762 | 2006-10-02 |
| 1689033706 | North Bolivar Consolidated School District | Local Education Agency (LEA) | 201 Green St, Mound Bayou, MS 38762 | 2016-02-17 |
| 1144398710 | Delta Health Center | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762 | 2006-12-01 |
| 1255545570 | Delta Health Center, Inc. | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762-0900 | 2007-05-09 |
| Find all providers in zip 38762 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921320 | Sarah Shepherd | Counselor | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750478 | Latibbie Cavett | Counselor | 1311 Rosemont Dr, Clinton, MS 39056-3954 | 2020-11-05 |
| 1306445309 | Teresa Nicole Worthy | Counselor | 6690 Rose Ln # B, Marion, MS 39342-9201 | 2020-10-21 |
| 1841899978 | Kbccms, LLC | Counselor | 1501 Jackson Ave W Ste 113, Oxford, MS 38655-2566 | 2020-10-20 |
| 1053910281 | Julie Magee Powell | Counselor | 121 Sweetgum Rd N, Brandon, MS 39047-6235 | 2020-10-19 |
| 1245838143 | Liria Peshkepia | Counselor | 1105 W Jackson St, Tupelo, MS 38804-2515 | 2020-10-13 |
| 1346847837 | Connection Counseling | Counselor | 336 N Green St, Tupelo, MS 38804-3828 | 2020-10-07 |
| 1609480086 | Robin Melissa Aucoin | Counselor | 1745 County Road 344, Quitman, MS 39355-9454 | 2020-09-03 |
| 1619589538 | Pamela Peoples | Counselor | 1888 Main St Ste C-189, Madison, MS 39110-6337 | 2020-08-21 |
| 1194334656 | Shania Barr | Counselor | 33 Bedford Forrest Ln, Hattiesburg, MS 39401-9186 | 2020-07-29 |
| 1609485515 | Charleen Brown Sproles | Counselor | 434 Katherine Dr Ste B, Flowood, MS 39232-8811 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUND BAYOU |
| Zip Code | 38762 |
Please comment or provide details below to improve the information on DR. CANDACE L. GILLESPIE.
| 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.