Provider Demographics
NPI:1992195861
Name:BURTON COUNSELING, PLLC
Entity Type:Organization
Organization Name:BURTON COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:B
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:662-816-2208
Mailing Address - Street 1:1107 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-3641
Mailing Address - Country:US
Mailing Address - Phone:662-259-7211
Mailing Address - Fax:
Practice Address - Street 1:1107 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-3641
Practice Address - Country:US
Practice Address - Phone:662-259-7211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty