Provider Demographics
NPI:1447405113
Name:BOGGESS, LOIS (LPC)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:BOGGESS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8207
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-0031
Mailing Address - Country:US
Mailing Address - Phone:662-327-5600
Mailing Address - Fax:662-327-0069
Practice Address - Street 1:148 HIGHWAY 373
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-9202
Practice Address - Country:US
Practice Address - Phone:662-327-5600
Practice Address - Fax:662-327-0069
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-22
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1421101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional