OrganizationActive
Fpc Intensive Outpatient Program
NPI 1306572235 · Addiction (Substance Use Disorder) Counselor · Tupelo, MS
Provider details
- NPI number
- 1306572235
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Parent organization
- Fair Park Counseling PLLC
- Authorized official
- Madison Ashby, Administrative Assistant
Practice location
210 E Main St Ste 2c
Tupelo, MS 38804-4017
Phone: (662) 760-0052
Fax: (662) 495-4080
Mailing address
210 E Main St Ste 2c
Tupelo, MS 38804-4017
Registry dates
- Enumerated
- 2022-07-25
- Last updated
- 2022-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.