Provider Demographics
NPI:1174268056
Name:SIGGERS, ARTHUR L
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:L
Last Name:SIGGERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-7680
Mailing Address - Country:US
Mailing Address - Phone:601-582-3475
Mailing Address - Fax:601-582-0149
Practice Address - Street 1:1313 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-7680
Practice Address - Country:US
Practice Address - Phone:601-582-3475
Practice Address - Fax:601-582-0149
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS101YP1600X
MS205814101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral