Healthcare Provider Details

I. General information

NPI: 1962334094
Provider Name (Legal Business Name): TEARSANEE SEWELL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 LIBERTY RD
NATCHEZ MS
39120-4314
US

IV. Provider business mailing address

305 BROOKFIELD DR
NATCHEZ MS
39120-2713
US

V. Phone/Fax

Practice location:
  • Phone: 601-653-0936
  • Fax: 601-653-4248
Mailing address:
  • Phone: 601-870-2188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3419
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: