Provider Demographics
NPI:1336036334
Name:ALFORD, SAQUENA A (LPC, NCC, CMHT)
Entity type:Individual
Prefix:
First Name:SAQUENA
Middle Name:A
Last Name:ALFORD
Suffix:
Gender:F
Credentials:LPC, NCC, CMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309A PINE SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-8336
Mailing Address - Country:US
Mailing Address - Phone:601-227-2168
Mailing Address - Fax:
Practice Address - Street 1:8309A PINE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-8336
Practice Address - Country:US
Practice Address - Phone:601-227-2168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1600537101Y00000X
MSCH5670101YM0800X
MS3287101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health