Provider Demographics
NPI:1275118523
Name:BURNS-LOFOTN, ADRIANE CHYENNE (CMHT)
Entity Type:Individual
Prefix:
First Name:ADRIANE
Middle Name:CHYENNE
Last Name:BURNS-LOFOTN
Suffix:
Gender:F
Credentials:CMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 MOUNT CARMEL RD
Mailing Address - Street 2:
Mailing Address - City:PRENTISS
Mailing Address - State:MS
Mailing Address - Zip Code:39474-2964
Mailing Address - Country:US
Mailing Address - Phone:601-408-7438
Mailing Address - Fax:
Practice Address - Street 1:653 MOUNT CARMEL RD
Practice Address - Street 2:
Practice Address - City:PRENTISS
Practice Address - State:MS
Practice Address - Zip Code:39474-2964
Practice Address - Country:US
Practice Address - Phone:601-408-7438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health