MEDICARE: LINDSEY RUSHING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	821	MS

General Provider Information

NPI Number	:	1174374151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY RUSHING

Provider Business Mailing Address
First Line	:	1306 COLLEGE ST
Second Line	:
City	:	PORT GIBSON
State	:	MS
Zip	:	39150-2620
Country	:	US
Telephone Number	:	601-738-0516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 COLLEGE ST
Second Line	:
City	:	PORT GIBSON
State	:	MS
Zip	:	39150-2620
Country	:	US
Telephone Number	:	601-738-0516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	03/28/2024

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Directions to “ LINDSEY RUSHING ” Practice Location

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