Provider Demographics
NPI:1699110411
Name:HEREFORD, NITA HOPE (MS COUNSELOR)
Entity type:Individual
Prefix:
First Name:NITA
Middle Name:HOPE
Last Name:HEREFORD
Suffix:
Gender:F
Credentials:MS COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 RED BUD LN
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-8425
Mailing Address - Country:US
Mailing Address - Phone:228-369-0211
Mailing Address - Fax:
Practice Address - Street 1:805 HOLCOMB BLVD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3943
Practice Address - Country:US
Practice Address - Phone:228-324-5767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor