Provider Demographics
NPI:1699572115
Name:CUEVAS, COLBY URIAH (LPC)
Entity type:Individual
Prefix:
First Name:COLBY
Middle Name:URIAH
Last Name:CUEVAS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38802-0394
Mailing Address - Country:US
Mailing Address - Phone:662-687-3280
Mailing Address - Fax:
Practice Address - Street 1:211 N MADISON ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-3807
Practice Address - Country:US
Practice Address - Phone:662-687-3280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3228101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional