Healthcare Provider Details

I. General information

NPI: 1255294013
Provider Name (Legal Business Name): ISSUES OF LIFE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 MEMPHIS ST STE 206
HERNANDO MS
38632-1757
US

IV. Provider business mailing address

PO BOX 675
NESBIT MS
38651-0675
US

V. Phone/Fax

Practice location:
  • Phone: 901-213-6051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TYRA ROWELL
Title or Position: CEO
Credential:
Phone: 662-769-2019