Healthcare Provider Details

I. General information

NPI: 1386564433
Provider Name (Legal Business Name): EMILY MESMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 SUNNYBROOK RD
RIDGELAND MS
39157-2206
US

IV. Provider business mailing address

241 SUNNYBROOK RD
RIDGELAND MS
39157-2206
US

V. Phone/Fax

Practice location:
  • Phone: 769-231-9414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP-1075
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: