MEDICARE: CASSANDRA TALIAFERRO ATLEY ED.S

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	101Y00000X	Counselor	3431	MS

General Provider Information

NPI Number	:	1588531354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA TALIAFERRO ATLEY ED.S

Provider Business Mailing Address
First Line	:	PO BOX 4145
Second Line	:
City	:	GREENVILLE
State	:	MS
Zip	:	38704-4145
Country	:	US
Telephone Number	:	662-390-7636
Fax Number	:

Provider Business Practice Location Address
First Line	:	1718 DAHLIA DR
Second Line	:
City	:	GREENVILLE
State	:	MS
Zip	:	38701-7347
Country	:	US
Telephone Number	:	662-390-7636
Fax Number	:

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

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	04/24/2026

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