Healthcare Provider Details

I. General information

NPI: 1336823871
Provider Name (Legal Business Name): REBECCA TEASLEY HOXIE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA TEASLEY HUGHES LPC

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 E GOVERNMENT ST STE A
BRANDON MS
39042-3238
US

IV. Provider business mailing address

8108 HARMONY RD
CRYSTAL SPRINGS MS
39059-9250
US

V. Phone/Fax

Practice location:
  • Phone: 601-654-5661
  • Fax:
Mailing address:
  • Phone: 601-717-3346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number3464
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: