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Provider Information for 1477791812


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Ms. EMILY VAUGHAN SHIERS LPC


Sex: Female

NPI: 1477791812
Last Updated: 2023-01-23
Certification Date: 2022-08-05

Details

NameValue
NPI1477791812
Enumeration Date2009-01-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
United States

Phone: | Fax:
 
Primary Practice Address 3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
United States

Phone: 601-638-0031 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
evaughan@warren-yazoo.org
employer secure email
Health Information Exchange (HIE) employer secure email 3444 Wisconsin Ave
Vicksburg, MS 39180-5331
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental Health