Theresa Fordham, LPC LSW

NPI 1730273335 · on the registry since 2006 · sole proprietor

Practice

Address: 1636 Popps Ferry Rd Ste 116
Biloxi, MS 39532
Phone: (228) 596-9903
Fax: (228) 396-5001
Organisation at this address: Aaron Zahedi Health Llc
Eternity Wellness 22, Llc
Shirley Hilliard Lcsw Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 104100000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi